Philip Desantis, O.D.

NPI #1386771749 in Port Saint Lucie, Florida

Provider Information

NPI Number: 1386771749
Entity Type: Individual
Name: Philip Desantis, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Feb 27, 2007
Last Updated: Dec 7, 2010

Practice Location

Address: 1850 SW GATLIN BLVD
Address 2: WALMART OPTICAL
City: Port Saint Lucie
State: Florida
ZIP Code: 34953-2703
Phone: (772) 343-0003

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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