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DR. MARISSA NORTH ADAMSON O.D.
>> Optometrist >> Eye and Vision Services ProvidersRegistrant NPI Number: 1104076942
Individual Registrant:DR. MARISSA NORTH ADAMSON O.D.
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
1491 GOVERNORS SQUARE BLVD TALLAHASSEE, FL 32301-3049 US
Tel: 850-383-3322 Fax: --
Tel: 850-383-3322 Fax: --
Contact information for business:
PO BOX 15349 TALLAHASSEE, FL 32317-5349 US
Tel: 850-383-3322 Fax: --
Tel: 850-383-3322 Fax: --
Registration Information:
NPI: 1104076942
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 152W00000X | Eye and Vision Services Providers Optometrist | FL | OPC 4366 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
