Organization
GREGORY L. KANE OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY BAGGETT LDO (OPTICIAN)
(386) 328-8387
Entity
Organization
Contact information
Practice address
514 S PALM AVE, PALATKA, FL 32177-4148
(386) 328-8387
(386) 325-0644
Mailing address
514 S PALM AVE, PALATKA, FL 32177-4148
(386) 328-8387
(386) 325-0644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP-0001874
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078282300
—
FL
Enumeration date
07/30/2009
Last updated
07/30/2009
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