Humphrey, Donald P

Humphrey, Donald P is an individual health care provider with primary practice located at 407 N Plant Ave , Plant City FL 33563-7247. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Humphrey, Donald P can be contacted via phone (813) 754-4558.

Contact Information

Primary practice address
407 N Plant Ave Plant City FL 33563-7247
Phone: (813) 754-4558
Fax: (813) 752-1789
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC 1158 Florida

Profile Details

NPI number 1447203781
LBN Legal business name Humphrey, Donald P
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 18th, 2006
Last updated Jul 26th, 2010 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447203781 NPPES
Florida MEDICAID 084914600
Florida MEDICAID 084914601

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