Organization
OPTICAL GALLERIA PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTIAN GONZALEZ (LICENSED OPTICIAN)
(239) 270-8170
Entity
Organization
Contact information
Practice address
4135 DR MARTIN LUTHER KING BLVD # G16, FORT MYERS, FL 33916-4809
(239) 313-5259
(239) 672-4368
Mailing address
4135 DR MARTIN LUTHER KING BLVD # G16, FORT MYERS, FL 33916-4809
(239) 313-5259
(239) 672-4368
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
—
—
Other
Enumeration date
07/16/2020
Last updated
07/16/2020
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