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Individual

DR. SALVATORE DE CANIO

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
O.D., F.A.A.O.

Contact information

Practice address
798 NEAPOLITAN WAY, NAPLES, FL 34103-8504
(239) 649-1011
(561) 734-2847
Mailing address
628 CYPRESS KEY CIR, ATLANTIS, FL 33462-1234
(561) 665-0437
(561) 721-0714

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
FL OPC1598
DE
152WC0802X
Corneal and Contact Management Optometrist
Primary
FL OPC001598
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
078200900
FL
05
078200901
FL
01
FL OPC1598
STATE OPTOMETRY LICENSE#
FL
Enumeration date
11/24/2005
Last updated
05/17/2023
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