Individual
DR. KENNETH CHARLES GATSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2303 S BAY ST, EUSTIS, FL 32726-6360
(352) 357-1027
Mailing address
2303 S BAY ST, EUSTIS, FL 32726-6360
(352) 357-1027
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 1219
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084826300
—
FL
Enumeration date
07/13/2006
Last updated
11/18/2009
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