Individual
NICOLE MARIE YONTZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1201 PIPER BLVD STE 22, NAPLES, FL 34110-1385
(239) 734-3877
(239) 734-1879
Mailing address
9617 GULF RESEARCH LN, FORT MYERS, FL 33912-4555
(239) 418-0999
(239) 418-0091
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5454
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC5454
MEDICAL LICENSE
FL
Enumeration date
03/26/2008
Last updated
07/18/2024
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