L Bruce Fosen Od PA

NPI #1770764920 in Ocala, Florida

Provider Information

NPI Number
1770764920
Entity Type
Organization
Organization Name
L Bruce Fosen Od PA
Primary Specialty
Optometrist
Enumeration Date
Nov 15, 2007
Last Updated
May 28, 2013

Practice Location

Address
2535 SE 28TH ST
City
Ocala
State
Florida
ZIP Code
34471-6273
Phone
(352) 208-0091

Authorized Official

Name
DR. LLOYD BRUCE FOSEN, O D
Title
PRESIDENT
Phone
(352) 208-0091

Specialties & Taxonomy Codes

Specialty
Optometrist

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