Organization
ALLIGATOR ISLAND OPTICAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY VIRGIL KNOWLAND LDO (CO OWNER, OPTICIAN)
(352) 332-9028
Entity
Organization
Contact information
Practice address
2725 SW 91ST ST, SUITE 160, GAINESVILLE, FL 32608-2781
(352) 332-9028
(352) 332-9030
Mailing address
2725 SW 91ST ST, SUITE 160, GAINESVILLE, FL 32608-2781
(352) 332-9028
(352) 332-9030
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
DO 5908
FL
Other
Enumeration date
11/12/2008
Last updated
03/17/2009
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