Low Vision Center Of Northeast Florida Inc

NPI 1235329848 - Optometrist - 152W00000X

NPI Details
NPI 1235329848
Enumeration Date 07/30/2007
Last Updated 06/25/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name TIFFANY E TIFFANY
Position CLINICAL DIRECTOR
Phone (904) 389-9989
Fax (904) 389-1060
Practice Location
2519 RIVERSIDE AVENUE
JACKSONVILLE FL, 32204-4710, US
Phone (904) 389-9989
Fax (904) 389-1060
Business Location
2519 RIVERSIDE AVENUE
JACKSONVILLE FL, 32204-4710, US
Phone (904) 389-9989
Fax (904) 389-1060
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC4045
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According to our database, Low Vision Center Of Northeast Florida Inc NPI is 1235329848, taxonomy code is 152W00000X and license number is OPC4045, license state is located at Florida. Low Vision Center Of Northeast Florida Inc physically located at 2519 Riverside Avenue, Jacksonville FL, 32204-4710. NPI Number 1033115704 has the healthcare provider type.

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1235329848 NPI number is provided on an as is basis without warranty of any kind. 1235329848 is maintained by the National Plan & Provider Enumeration System. The contents of Low Vision Center Of Northeast Florida Inc are for informational purposes only.