Harrell, Stuart Kent

Harrell, Stuart Kent is an individual health care provider with primary practice located at 2004 Cr 540-A , Lakeland FL 33813. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Harrell, Stuart Kent can be contacted via phone (863) 294-3504.

Contact Information

Primary practice address
2004 Cr 540-A Lakeland FL 33813
Fax: (866) 522-3607
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC2359 Florida

Profile Details

NPI number 1134212145
LBN Legal business name Harrell, Stuart Kent
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 2nd, 2006
Last updated Apr 20th, 2016 - about 10 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 1134212145 NPPES
Florida MEDICAID 621353700

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