Organization
CAPE CORAL EYE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER GALLO OD (OPTOMETRIST)
(239) 542-2020
Entity
Organization
Contact information
Practice address
4085 HANCOCK BRIDGE PKWY, SUITE 120, N FORT MYERS, FL 33903-7219
(239) 542-2020
(239) 567-5248
Mailing address
P.O. BOX 101427, CAPE CORAL, FL 33910
(239) 540-8718
(239) 945-0847
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620840100
—
FL
Enumeration date
03/25/2010
Last updated
03/25/2010
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