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Organization
ATLANTIC EYE INSTITUTE, P.A.
Active
Organization
ATLANTIC EYE INSTITUTE, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CANDICE B DAVIS (CHIEF REVENUE OFFICER)
(916) 990-7590
Entity
Organization
Contact information
Practice address
3316 3RD ST S STE 103, JACKSONVILLE BEACH, FL 32250-6090
(904) 595-5122
(904) 249-2352
Mailing address
3316 3RD ST S, SUITE 103, JACKSONVILLE BEACH, FL 32250-6073
(904) 241-7865
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
09/27/2006
Last updated
08/30/2024
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