Leslie R Alonzo III, O.D.

NPI #1598762395 in Brandon, Florida

Provider Information

NPI Number: 1598762395
Entity Type: Individual
Name: Leslie R Alonzo III, O.D.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Optometrist
Credential: O.D.
Enumeration Date: Jul 7, 2005
Last Updated: Sep 11, 2020

Practice Location

Address: 403 VONDERBURG DR
Address 2: STE 101
City: Brandon
State: Florida
ZIP Code: 33511-5982
Phone: (813) 681-1122

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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