Provider Demographics
NPI:1033456942
Name:DEAN F ARGENTINE, OD PA
Entity Type:Organization
Organization Name:DEAN F ARGENTINE, OD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DEAN
Authorized Official - Middle Name:FRANK
Authorized Official - Last Name:ARGENTINE
Authorized Official - Suffix:
Authorized Official - Credentials:OD
Authorized Official - Phone:850-934-9655
Mailing Address - Street 1:1181 MARY LOU LN
Mailing Address - Street 2:
Mailing Address - City:GULF BREEZE
Mailing Address - State:FL
Mailing Address - Zip Code:32563-3710
Mailing Address - Country:US
Mailing Address - Phone:850-934-9655
Mailing Address - Fax:850-934-7499
Practice Address - Street 1:3767 GULF BREEZE PKWY
Practice Address - Street 2:
Practice Address - City:GULF BREEZE
Practice Address - State:FL
Practice Address - Zip Code:32563-3528
Practice Address - Country:US
Practice Address - Phone:850-934-9655
Practice Address - Fax:850-934-7499
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-11
Last Update Date:2013-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC2695152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes152W00000XEye and Vision Services ProvidersOptometristGroup - Single Specialty