Individual
JENNIFER GONZALEZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4750 THE GROVE DR STE 164, WINDERMERE, FL 34786-8425
(407) 801-2477
(407) 751-1634
Mailing address
4750 THE GROVE DR STE 164, WINDERMERE, FL 34786-8425
(407) 801-2477
(407) 598-5283
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4930
FL
152WC0802X
Corneal and Contact Management Optometrist
OPC4930
FL
Other
Enumeration date
06/05/2014
Last updated
02/17/2022
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