Individual
DR. MARC JAY GANNON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2021 E COMMERCIAL BLVD, SUITE #301, FT LAUDERDALE, FL 33308-3763
(954) 776-5223
(954) 491-0027
Mailing address
2021 E COMMERCIAL BLVD, SUITE #301, FT LAUDERDALE, FL 33308-3763
(954) 776-5223
(954) 491-0027
Taxonomy
Speciality
Code
Description
License number
State
152WL0500X
Low Vision Rehabilitation Optometrist
Primary
OPC001271
FL
Other
Enumeration date
09/20/2005
Last updated
11/27/2007
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