LEONCIO V GONZALEZ OD PA NPI 1629371695

NPI Information

LEONCIO V GONZALEZ OD PA is an eyewear supplier in Miami, FL. The provider is an organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist. LEONCIO V GONZALEZ OD PA NPI is 1629371695. The provider is registered as an organization entity type.

The provider's business location address is:

11760 BIRD RD
SUITE 101
MIAMI, FL
ZIP 33175-582
Phone: (305) 220-8333
Fax: (305) 220-1971

The provider's authorized official is Leoncio V Gonzalez .
The authorized official title is Optometrist and has the following contact phone number (305) 220-8333.

The enumeration date for this NPI number is 12/14/2010 and was last updated on 9/28/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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