Russell, Penny Lee

Russell, Penny Lee is an individual health care provider with primary practice located at 17105 San Carlos Blvd , Fort Myers Beach FL 33931-5305. She recently has only one registered license in Eye and Vision Services Providers / Optician, which is considered as her primary health care specialty. Russell, Penny Lee can be contacted via phone (239) 340-7071.

Contact Information

Primary practice address
17105 San Carlos Blvd Fort Myers Beach FL 33931-5305
Fax: (239) 466-9015
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optician 156FX1800X DO7367 Florida

Profile Details

NPI number 1295425734
LBN Legal business name Russell, Penny Lee
Credentials LDO ABO NCLE
Entity Individual
Sole proprietor 1 No
Enumeration date May 9th, 2023
Last updated May 9th, 2023 - about 2 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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