Individual
J CAMPBELL GAUNT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1800 S MCCALL RD, ENGLEWOOD, FL 34223-4958
(941) 474-2020
(941) 473-4142
Mailing address
1360 E VENICE AVE, VENICE, FL 34285-9066
(941) 488-2020
(941) 484-2200
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1220
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
19468
BCBS
FL
05
—
620103200
—
FL
Enumeration date
08/31/2006
Last updated
02/24/2022
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