Organization
CAPE CORAL EYE CENTER, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNIFER GALLO O.D. (OPTOMETRIST)
(239) 542-2020
Entity
Organization
Contact information
Practice address
900 SW PINE ISLAND RD, SUITE 120, CAPE CORAL, FL 33991-1979
(239) 542-2020
(239) 242-9953
Mailing address
PO BOX 101427, CAPE CORAL, FL 33910-1427
(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
02/23/2007
Last updated
06/15/2011
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