Wiles & Associates 6970 Pa

NPI 1588842033 - Optometrist - 152W00000X

NPI Details
NPI 1588842033
Enumeration Date 02/07/2008
Last Updated 07/02/2014
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name RICHARD ANDREW RICHARD
Position PRESIDENT
Phone (904) 887-0836
Fax
Practice Location
6767 103RD ST
JACKSONVILLE FL, 32210-7135, US
Phone (904) 887-0836
Fax
Business Location
268 SAINT JOHNS GOLF DR
ST AUGUSTINE FL, 32092-1052, US
Phone (904) 887-0836
Fax
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC2139
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According to our database, Wiles & Associates 6970 Pa NPI is 1588842033, taxonomy code is 152W00000X and license number is OPC2139, license state is located at Florida. Wiles & Associates 6970 Pa physically located at 6767 103rd St, Jacksonville FL, 32210-7135. NPI Number 1033115704 has the healthcare provider type.

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1588842033 NPI number is provided on an as is basis without warranty of any kind. 1588842033 is maintained by the National Plan & Provider Enumeration System. The contents of Wiles & Associates 6970 Pa are for informational purposes only.