Canizales, Juan R
Canizales, Juan R is an sole proprietor health care provider with primary practice located at 12731 New Brittany Blvd , Fort Myers FL 33907-3632. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Canizales, Juan R can be contacted via phone (239) 418-0999.Contact Information
Primary practice address
12731 New Brittany Blvd
Fort Myers FL 33907-3632
Phone: (239) 418-0999
Fax: (239) 274-0773
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC4007 | Florida |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 2129 | North Carolina |
| Eye and Vision Services Providers / Optometrist | 152W00000X | 740 | Hawaii |
Profile Details
| NPI number | 1912996984 |
|---|---|
| LBN Legal business name | Canizales, Juan R |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Oct 20th, 2005 |
| Last updated | Jul 22nd, 2013 - about 11 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1912996984 | NPPES |
| Florida | Other | P00369116 | RAIL ROAD MEDICARE |
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