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DR. PETR FRANKLIN BOSHINSKI OD

>> Optometrist >> Eye and Vision Services Providers

Registrant NPI Number: 1124557988

Individual Registrant:
DR. PETR FRANKLIN BOSHINSKI OD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: 850-883-8132  Fax: --

Contact information for business:
307 BOATNER RD STE 114  EGLIN AFB, FL 32542-1302 US
Tel: --  Fax: 304-422-7900

Registration Information:
NPI: 1124557988
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
N152W00000XEye and Vision Services Providers
Optometrist
OH6535
Y152W00000XEye and Vision Services Providers
Optometrist
WV2034.OD

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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