Provider Demographics
NPI:1003475096
Name:NAGUIB, CARLOS (OD)
Entity type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:
Last Name:NAGUIB
Suffix:
Gender:M
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3031 W SPRUCE ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33607-3233
Mailing Address - Country:US
Mailing Address - Phone:954-706-2945
Mailing Address - Fax:
Practice Address - Street 1:3031 W SPRUCE ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33607-3233
Practice Address - Country:US
Practice Address - Phone:954-706-2945
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-12
Last Update Date:2024-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOPC5667152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist