Organization
GARY E GOBERVILLE OD PA
Active
Other names
Eye Site Vision Center Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GARY E GOBERVILLE OD (OPTOMETRIST OWNER)
(954) 344-3937
Entity
Organization
Contact information
Practice address
2344 N UNIVERSITY DR, CORAL SPRINGS, FL 33065-5122
(954) 344-3937
(954) 344-2434
Mailing address
2920 NE 47TH ST, LIGHTHOUSE POINT, FL 33064-7136
(954) 783-0721
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2575
FL
Other
Enumeration date
08/13/2008
Last updated
08/13/2008
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