Individual
MR. MARCO VINICIO GONZALEZ SOLIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4040 W WATERS AVE STE 106, TAMPA, FL 33614-8133
(813) 488-8231
Mailing address
4040 W WATERS AVE STE 106, TAMPA, FL 33614-8133
(813) 488-8231
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO777
FL
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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