Individual
SANDRA GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
2000 SR 60 EAST, LAKE WALES, FL 33898
(863) 679-1915
(863) 679-1634
Mailing address
2000 SR 60 EAST, LAKE WALES, FL 33898
(863) 679-1915
(863) 679-1634
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO7156
FL
Other
Enumeration date
01/12/2024
Last updated
01/12/2024
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