Provider Demographics
NPI:1568229649
Name:WITHROW, HANNAH ELIZABETH MARSH (OD)
Entity Type:Individual
Prefix:DR
First Name:HANNAH
Middle Name:ELIZABETH MARSH
Last Name:WITHROW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:6301 S WEST SHORE BLVD APT 1221
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33616-1367
Mailing Address - Country:US
Mailing Address - Phone:605-760-1018
Mailing Address - Fax:
Practice Address - Street 1:1531 S DALE MABRY HWY
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33629-5808
Practice Address - Country:US
Practice Address - Phone:605-760-1018
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-05
Last Update Date:2024-03-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC6425152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist