Individual
MARICET HERNANDEZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4125 S CLEVELAND AVE STE 35, FORT MYERS, FL 33901
(239) 936-8088
Mailing address
740 16TH AVE NW, NAPLES, FL 34120-6312
(239) 438-7516
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC6149
FL
Other
Enumeration date
07/07/2022
Last updated
07/11/2022
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