MARTIN A KANSOL

Dr MARTIN A KANSOL is a male medical professional, specializing in Optometry. He graduated in 1982 from Southern College Of Optometry.

Contact

3098 W LAKE MARY BLVD
LAKE MARY
FL
327466742

Tel: 4073216464

MARTIN A KANSOL Information

Npi 1235253725
Pac Id 0648455733
Professional Enrollment Id I20110505000460
Last Name KANSOL
First Name MARTIN
Middle Name A
Suffix
Gender M
Credential
Medical School Name SOUTHERN COLLEGE OF OPTOMETRY
Graduation Year 1982
Primary Specialty OPTOMETRY
Secondary Specialty 1
Secondary Specialty 2
Secondary Specialty 3
Secondary Specialty 4
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Organization Legal Name
Group Practice Pac Id
Number Of Group Practice Members
Line 1 Street Address 3098 W LAKE MARY BLVD
Line 2 Street Address
Marker Of Address Line 2 Suppression
City LAKE MARY
State FL
Zip Code 327466742
Phone Number 4073216464
Hospital Affiliation Ccn 1
Hospital Affiliation Lbn 1
Hospital Affiliation Ccn 2
Hospital Affiliation Lbn 2
Hospital Affiliation Ccn 3
Hospital Affiliation Lbn 3
Hospital Affiliation Ccn 4
Hospital Affiliation Lbn 4
Hospital Affiliation Ccn 5
Hospital Affiliation Lbn 5
Professional Accepts Medicare Assignment Y

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