Individual
DR. JUAN R CANIZALES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
12731 NEW BRITTANY BLVD, FORT MYERS, FL 33907-3632
(239) 418-0999
(239) 274-0773
Mailing address
330 BILLINGSLEY RD STE 205, CHARLOTTE, NC 28211-5020
(704) 366-0223
(704) 366-5327
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2129
NC
152W00000X
Optometrist
740
HI
152W00000X
Optometrist
OPC4007
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
P00369116
RAIL ROAD MEDICARE
FL
Enumeration date
10/20/2005
Last updated
07/22/2013
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us