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Leoncio V Gonzalez Od Pa
Eyewear Supplier in Miami, Florida
NPI 1629371695

Leoncio V Gonzalez Od Pa is a Eyewear Supplier based in Miami, FL. Leoncio V Gonzalez Od Pa practices in Miami, FL. The NPI Number for Leoncio V Gonzalez Od Pa is 1629371695 and holds a License No. OP 2772 (Florida).

The current practice location address for Leoncio V Gonzalez Od Pa is 11760 Bird Rd, Miami, FL and can be reached out via phone at 305-220-8333 and via fax at 305-220-1971.

Location: 11760 Bird Rd, Miami, FL, 33175-3582
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629371695
Provider Name
Leoncio V Gonzalez Od Pa
Credential
Provider Entity Type
Organization
Address
11760 Bird Rd, Miami, FL, 33175-3582
Phone Number
305-220-8333
Fax Number
305-220-1971
Provider Enumeration Date
12/14/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1138160001 01 FL DME
620109100 05 FL
institution
Provider Business Practice Location Address Details
Address
11760 Bird Rd
City
Miami
State
Florida
Zip
33175-3582
Phone Number
305-220-8333
Fax Number
305-220-1971
person
Provider Business Mailing Address Details
Address
11760 Bird Rd
City
Miami
State
Florida
Zip
33175-3582
Phone Number
305-220-8333
Fax Number
305-220-1971
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
332H00000X
License No.
OP 2772 (Florida)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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