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Organization

MICHELLE GONZALEZ OD PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MICHELLE GONZALEZ O.D. (PRESIDENT)
(954) 484-0700
Entity
Organization

Contact information

Practice address
4300 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1918
(954) 484-0700
(954) 484-0705
Mailing address
4300 W OAKLAND PARK BLVD, LAUDERDALE LAKES, FL 33313-1918
(954) 484-0700
(954) 484-0705

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3797
FL

Other

Enumeration date
09/19/2007
Last updated
11/09/2007
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