# HARRIS, WILCOX & DONOVAN PA

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** HARRIS, WILCOX & DONOVAN PA
- **Other names:** Clay Eye Physicians & Surgeons
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1295151348
- **Legal business name:** HARRIS, WILCOX & DONOVAN PA
- **Authorized official:** MS. BOBBIE J WILLIAMS (BILLING MANAGER)
- **Authorized official phone:** (904) 272-2020

## Contact information

- **Practice address:** 2 SHIRCLIFF WAY, SUITE 120, JACKSONVILLE, FL 32204-4753
- **Practice address phone:** (904) 272-2020
- **Practice address fax:** (904) 272-5762
- **Mailing address:** 2 SHIRCLIFF WAY, SUITE 120, JACKSONVILLE, FL 32204-4753
- **Mailing address phone:** (904) 272-2020
- **Mailing address fax:** (904) 272-5762

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | 604623 | FL | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/13/2014
- **Last updated:** 06/27/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | CB1273 | RAILROAD MEDICARE | FL |