Paul G Rousseau Od Pa
Clinic/Center in Viera, FL(View on Map)
Legal Business Name
Paul G Rousseau Od Pa
NPI Number
1265762918
NPI Type
Organization
Enumeration Date
12/31/2009
Specialties
(Taxonomies)Licenses
State
Florida
License Number
OPC2641
Contact
Information
Purpose
Mailing
Location
Address
5455 MURRELL RD STE 107
5455 MURRELL RD STE 107
City
Viera
Viera
State
FL
FL
Postal Code
32955-6615
32955-6615
Country
US
US
Telephone Number
(321) 636-1972
(321) 636-1972
Authorized Official
Name
Dr. Paul Rousseau
Title or Position
DEVELOPMENTAL OPTOMETRIST
Telephone Number
(321) 636-1972
Identifiers
Identifier
20396Z
Identifier State
FL
Identifier Issuer
MEDICARE PTAN
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 05/03/2012
Provider Address
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