Individual
DR. GREGORY MICHAEL FECHO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3200 S UNIVERSITY DR, NSU THE EYE INSTITUTE SUITE 1402, DAVIE, FL 33328-2018
(954) 262-1402
(954) 262-1818
Mailing address
3050 NORWOOD PL, #N110, BOCA RATON, FL 33431-6524
(561) 392-3153
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3581
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620777400
—
FL
Enumeration date
11/20/2006
Last updated
03/19/2019
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