JAMES REVENNAUGH, OD

Optometrist

Active Individual
NPI: 1124251905

Practice Address

86 PONCE DE LEON BLVD
Brooksville, FL 34601

Phone: (352) 796-2141

Specialties

Specialty Code Primary License
Optometrist 152W00000X Yes OPC 4450 (FL)

Frequently Asked Questions

NPI 1124251905 is the National Provider Identifier for JAMES REVENNAUGH, OD, a Optometrist provider located in Brooksville, FL. This NPI was enumerated on August 27, 2009.
JAMES REVENNAUGH, OD practices at 86 PONCE DE LEON BLVD, Brooksville, FL 34601.

Quick Facts

NPI
1124251905
Type
Individual
Enumerated
Aug 27, 2009
Last Updated
Jun 16, 2010

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