Individual
CATHLEEN ROSALIE CARABALLO SHANKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
2190 9TH ST N, NAPLES, FL 34102-4819
(239) 263-3223
Mailing address
15493 SUMMIT PLACE CIR, NAPLES, FL 34119-4123
(813) 990-7062
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
18004009A
IN
152W00000X
Optometrist
Primary
OPC5615
FL
Other
Enumeration date
03/27/2017
Last updated
07/20/2020
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