# JACQUELINE E. ZERMENO O.D., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Jacqueline E. Zermeno O.D., P.A.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194110403
- **Authorized official:** DR. JACQUELINE ELIZA ZERMENO O.D. (OPTOMETRIST)
- **Authorized official phone:** (321) 412-1983

## Contact information

- **Practice address:** 3550 S WASHINGTON AVE, TITUSVILLE, FL 32780-8627
- **Practice address phone:** (321) 268-9239
- **Practice address fax:** (321) 383-0788
- **Mailing address:** 1621 HOLLAND ST, MELBOURNE, FL 32935-2826
- **Mailing address phone:** (321) 412-1983
- **Mailing address fax:** (321) 383-0788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC 4604 | FL | Yes |

## Other

- **Enumeration date:** 04/02/2015
- **Last updated:** 04/02/2015