Organization
MDOPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JUAN ALBERTO GONZALEZ (CEO)
(407) 816-5958
Entity
Organization
Contact information
Practice address
12981 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 816-5958
Mailing address
12981 S ORANGE BLOSSOM TRL, ORLANDO, FL 32837-6592
(407) 816-5958
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
—
—
Other
Enumeration date
07/22/2010
Last updated
07/22/2010
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