Individual
DR. LISA B. GALLUZZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
850 S. PINE ISLAND RD, STE A100, PLANTATION, FL 33324
(954) 741-5555
(954) 741-6298
Mailing address
P.O. BOX 39209, FT. LAUDERDALE, FL 33339
(954) 851-9966
(954) 318-7360
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002697
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620071100
—
FL
01
—
650560968
CIGNA
FL
Enumeration date
08/12/2005
Last updated
03/19/2021
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