Individual
GISELLE VEGA CARRASCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1236 JACARANDA BLVD, VENICE, FL 34292-4507
(941) 499-3542
Mailing address
PO BOX 919788, ORLANDO, FL 32891-9788
(888) 856-1878
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6701
FL
Other
Enumeration date
05/28/2025
Last updated
08/05/2025
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