Elliott Stupp, O.D.

NPI #1932131331 in Venice, Florida

Provider Information

NPI Number: 1932131331
Entity Type: Individual
Name: Elliott Stupp, O.D.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 7, 2006
Last Updated: Nov 24, 2008

Practice Location

Address: 4171 S TAMIAMI TR
Address 2: #34
City: Venice
State: Florida
ZIP Code: 34293-2932
Phone: (941) 223-6381

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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