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Contact Information

MARC J GANNON, OD
2021 E COMMERCIAL BLVD
SUITE #301
FORT LAUDERDALE, FL33308-3763
 Phone: 954-776-5223
 Fax: 954-491-0027
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Low Vision Rehabilitation

152WL0500X 41 Optometry
Indicates primary specialty

NPI Profile & details for MARC J GANNON · (Male)

NPI # 1841286424
Status Active
Credentials OD (Doctor of Optometry)
Entity Individual
Enumeration date 09/20/2005
Last updated 11/27/2007 - About 19 years ago
Sole proprietor 1 Yes
Identifiers
  • FL License # OPC001271
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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