Gannon, Marc Jay

Gannon, Marc Jay is an sole proprietor health care provider with primary practice located at 2021 E Commercial Blvd Suite #301, Ft Lauderdale FL 33308-3763. He recently has only one registered license in Eye and Vision Services Providers / Low Vision Rehabilitation, which is considered as his primary health care specialty. Gannon, Marc Jay can be contacted via phone (954) 776-5223.

Contact Information

Primary practice address
2021 E Commercial Blvd Suite #301 Ft Lauderdale FL 33308-3763
Fax: (954) 491-0027
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Low Vision Rehabilitation 152WL0500X OPC001271 Florida

Profile Details

NPI number 1841286424
LBN Legal business name Gannon, Marc Jay
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 20th, 2005
Last updated Nov 27th, 2007 - about 17 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.

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