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Organization
JAY CRUMP OD PA
Active
Organization
JAY CRUMP OD PA
Active
Other names
FLORIDA EYE CARE CLINIC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PARNELL JAY CRUMP JR. OD (PRESIDENT)
(941) 794-1333
Entity
Organization
Contact information
Practice address
5306 CORTEZ RD W, STE 3, BRADENTON, FL 34210-2821
(941) 794-1333
(941) 794-5640
Mailing address
5306 CORTEZ RD W, STE 3, BRADENTON, FL 34210-2821
(941) 794-1333
(941) 794-5640
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2343
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084786100
—
FL
Enumeration date
08/24/2006
Last updated
10/22/2015
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