Longa, Maivys Hernandez

Longa, Maivys Hernandez is an individual health care provider with primary practice located at 17966 N Tamiami Trl # 160 , N Ft Myers FL 33903-1414. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Longa, Maivys Hernandez can be contacted via phone (239) 939-3456.

Contact Information

Primary practice address
17966 N Tamiami Trl # 160 N Ft Myers FL 33903-1414
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X 2190DT Kentucky

Profile Details

NPI number 1568080828
LBN Legal business name Longa, Maivys Hernandez
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 13th, 2020
Last updated Sep 13th, 2023 - about 2 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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