Chequita Hilversum, Pllc

NPI #1407413628 in Chipley, Florida

Provider Information

NPI Number: 1407413628
Entity Type: Organization
Organization Name: Chequita Hilversum, Pllc
Primary Specialty: Optometrist
Enumeration Date: May 22, 2019
Last Updated: May 22, 2019

Practice Location

Address: 1621 MAIN ST
City: Chipley
State: Florida
ZIP Code: 32428-5992
Phone: (850) 638-3214

Authorized Official

Name: DR. CHEQUITA FARINA HILVERSUM, OD
Title: AMBR/MANAGING MEMBER
Phone: (850) 819-9450

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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