Organization
TRAVIS A. GRESHAM, III, O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TRAVIS A GRESHAM III O.D. (OWNER)
(239) 495-2020
Entity
Organization
Contact information
Practice address
25225 CHAMBER OF COMMERCE DR, BONITA SPRINGS, FL 34135-7887
(239) 495-2020
(239) 947-2020
Mailing address
25225 CHAMBER OF COMMERCE DR, BONITA SPRINGS, FL 34135-7887
(239) 495-2020
(239) 947-2020
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OPC1224
FL
Other
Enumeration date
02/05/2016
Last updated
02/05/2016
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