# ANTHONY J GENTILE OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619115714
- **Authorized official:** DR. ANTHONY JAMES GENTILE O.D. (PRESIDENT)
- **Authorized official phone:** (305) 754-2020

## Contact information

- **Practice address:** 10992 NW 7TH AVE, MIAMI, FL 33168-2108
- **Practice address phone:** (305) 754-2020
- **Practice address fax:** (305) 754-7352
- **Mailing address:** 10992 NW 7TH AVE, MIAMI, FL 33168-2108
- **Mailing address phone:** (305) 754-2020
- **Mailing address fax:** (305) 754-7352

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC1583 | FL | Yes |

## Other

- **Enumeration date:** 01/27/2009
- **Last updated:** 12/07/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078406100 | — | FL |