Goncalves, Teresa
Goncalves, Teresa is an individual health care provider with primary practice located at 2917 Edgewater Dr , Orlando FL 32804-4413. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Goncalves, Teresa can be contacted via phone (407) 423-2030.Contact Information
Primary practice address
2917 Edgewater Dr
Orlando FL 32804-4413
Phone: (407) 423-2030
Fax: (407) 423-7354
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC3423 | Florida |
Profile Details
| NPI number | 1023009149 |
|---|---|
| LBN Legal business name | Goncalves, Teresa |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 31st, 2005 |
| Last updated | May 5th, 2017 - about 8 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 | 1023009149 | NPPES |
| Florida | MEDICAID | 620538100 |
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