Gonzalez, Heidi Marie
Gonzalez, Heidi Marie is an individual health care provider with primary practice located at 4263 Legendary Dr Ste J-105, Destin FL 32541-5392. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Gonzalez, Heidi Marie can be contacted via phone (850) 389-6132.Contact Information
Primary practice address
4263 Legendary Dr Ste J-105
Destin FL 32541-5392
Phone: (850) 389-6132
Fax: (850) 583-3632
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Eye and Vision Services Providers / Optometrist | 152W00000X | OPC 4646 | Florida |
Profile Details
| NPI number | 1003196783 |
|---|---|
| LBN Legal business name | Gonzalez, Heidi Marie |
| Credentials | Doctor of Optometry (OD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 25th, 2011 |
| Last updated | Aug 24th, 2021 - about 3 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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