Individual
JOSEPH LEGIEC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(239) 418-0999
(239) 274-0773
Mailing address
11160 LAKELAND CIR, FORT MYERS, FL 33913-6906
(239) 225-0557
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2844
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
410045737
RAIL ROAD MEDICARE
FL
Enumeration date
08/04/2005
Last updated
01/17/2013
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