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
Fax: (407) 423-7354
Website:

Health care specialties

SpecialtyCodeLicense #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 7 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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Identifiers

StateTypeNumberIssuer
All States NPI 1023009149 NPPES
Florida MEDICAID 620538100

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