Organization
EYE CARE OF SOUTH WEST FLORIDA LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JILL SAGONA OD (OPTOMETRIST)
(239) 631-6451
Entity
Organization
Contact information
Practice address
2382 IMMOKALEE RD, NAPLES, FL 34110-1446
(239) 631-6451
(239) 631-6455
Mailing address
2382 IMMOKALEE RD, NAPLES, FL 34110-1446
(239) 631-6451
(239) 631-6455
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3905
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
011934900
—
FL
Enumeration date
05/13/2014
Last updated
06/26/2020
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