Individual
DR. JENNIFER L. GALLO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
900 PINE ISLAND ROAD, CAPE CORAL, FL 33991
(239) 542-2020
(239) 541-1492
Mailing address
P.O. BOX 101427, CAPE CORAL, FL 32910
(239) 542-2020
(239) 541-1492
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3656
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620840100
—
FL
Enumeration date
07/12/2005
Last updated
09/01/2020
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