Individual
MRS. VERONICA A KON GRAVERSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1567 HAYLEY LN STE 101, FORT MYERS, FL 33907-2109
(239) 337-3337
(239) 936-6984
Mailing address
1567 HAYLEY LN STE 101, FORT MYERS, FL 33907-2109
(239) 337-3337
(239) 936-6984
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
ME139314
FL
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
ME139314
FL
207WX0108X
Uveitis and Ocular Inflammatory Disease (Ophthalmology) Physician
ME139313
FL
Other
Enumeration date
06/18/2010
Last updated
08/10/2021
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