# JANET M. MINT, O.D., PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114291952
- **Authorized official:** JANET MARIE MINT O.D, (PRESIDENT)
- **Authorized official phone:** (904) 646-9737

## Contact information

- **Practice address:** 4131 SOUTHSIDE BLVD, SUITE 203, JACKSONVILLE, FL 32216-5478
- **Practice address phone:** (904) 646-9737
- **Practice address fax:** (904) 646-9783
- **Mailing address:** 4131 SOUTHSIDE BLVD, SUITE 203, JACKSONVILLE, FL 32216-5478
- **Mailing address phone:** (904) 646-9737
- **Mailing address fax:** (904) 646-9783

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC001769 | FL | Yes |

## Other

- **Enumeration date:** 02/24/2012
- **Last updated:** 03/16/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 078616100 | — | FL |