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Organization
HARRIS, WILCOX & DONOVAN PA
Active
Organization
HARRIS, WILCOX & DONOVAN PA
Active
Parent organization
HARRIS, WILCOX & DONOVAN PA
Other names
Clay Eye Physicians & Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRIS, WILCOX & DONOVAN PA
Authorized official
MS. BOBBIE J WILLIAMS (BILLING MANAGER)
(904) 272-2020
Entity
Organization
Contact information
Practice address
2 SHIRCLIFF WAY, SUITE 120, JACKSONVILLE, FL 32204-4753
(904) 272-2020
(904) 272-5762
Mailing address
2 SHIRCLIFF WAY, SUITE 120, JACKSONVILLE, FL 32204-4753
(904) 272-2020
(904) 272-5762
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
604623
FL
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB1273
RAILROAD MEDICARE
FL
Enumeration date
03/13/2014
Last updated
06/27/2024
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