Most Relevant Information
Provider Data
| NPI Number: | 1003818915 |
| Provider Name: | MONA A HENRI O.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 152W00000X |
| Specialty: | Optometrist |
| License Number: | OPC2526 |
Most Important Dates
| Enumeration Date: | 08/10/2005 |
| Last Updated: | 09/11/2013 |
Provider Practice Location
2201 4TH ST N STE A
ST PETERSBURG
FL
337044300
Practice Location Phone/Fax
| Phone: | 7278940500 |
| Fax: | 7278238697 |
Provider Mailing Location
2201 4TH ST N STE A
ST PETERSBURG
FL
337044300
Provider Mailing Phone/Fax
| Phone: | 7278940500 |
| Fax: | 7278238697 |