NPI 1003196783

Heidi Marie Gonzalez, OD

Practitioner Optometrist Destin, FL

Practice location

Address: 4263 Legendary Dr STE J-105, Destin, FL 32541-5392
Phone: (850) 389-6132
Fax: (850) 583-3632
Mailing address: 470 Turquoise Bch Dr, Santa Rosa Beach, FL 32459-3061

Registered specialties

Optometrist Primary

Eye and Vision Services Providers Taxonomy 152W00000X Licence OPC 4646 (FL)

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Registry record

NPI: 1003196783
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Aug 2011
Record last updated: 24 Aug 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.