Provider Demographics
NPI:1245645498
Name:TARBUTTON, VICTORIA COLASURDO (OD)
Entity type:Individual
Prefix:DR
First Name:VICTORIA
Middle Name:COLASURDO
Last Name:TARBUTTON
Suffix:
Gender:F
Credentials:OD
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Mailing Address - Street 1:8421 EDGEWATER PLACE BLVD
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33615-1389
Mailing Address - Country:US
Mailing Address - Phone:727-534-0710
Mailing Address - Fax:
Practice Address - Street 1:28330 PASEO DR STE 180
Practice Address - Street 2:
Practice Address - City:WESLEY CHAPEL
Practice Address - State:FL
Practice Address - Zip Code:33543-5412
Practice Address - Country:US
Practice Address - Phone:813-994-4867
Practice Address - Fax:813-994-4137
Is Sole Proprietor?:Yes
Enumeration Date:2014-06-26
Last Update Date:2022-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL4944152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist