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Organization
MARC JAY GANNON OPTOMETRIST PA
Active
Organization
MARC JAY GANNON OPTOMETRIST PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARC JAY GANNON O.D. (DIRECTOR)
(954) 776-5223
Entity
Organization
Contact information
Practice address
2021 E COMMERCIAL BLVD, 301, FORT LAUDERDALE, FL 33308-3763
(954) 776-5223
(954) 491-0027
Mailing address
2021 E COMMERCIAL BLVD, 301, FORT LAUDERDALE, FL 33308-3763
(954) 776-5223
(954) 491-0027
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC1271
FL
Other
Enumeration date
09/18/2008
Last updated
08/04/2009
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