Individual
IVETTE H GONZALEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
777 E MERRITT ISLAND CSWY, STE F14, MERRITT ISLAND, FL 32952-3576
(321) 454-4800
(321) 454-2019
Mailing address
777 E MERRITT ISLAND CSWY, STE F14, MERRITT ISLAND, FL 32952-3576
Taxonomy
Speciality
Code
Description
License number
State
152WP0200X
Pediatric Optometrist
Primary
PENDING
FL
Other
Enumeration date
07/03/2008
Last updated
12/09/2015
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