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Organization
JOHN C. DERICKSON OD, PA
Active
Organization
JOHN C. DERICKSON OD, PA
Active
Other names
Derickson Vision Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN CHRISTIAN DERICKSON O.D. (OWNER)
(904) 997-8585
Entity
Organization
Contact information
Practice address
8771 PERIMETER PARK CT, SUITE 101, JACKSONVILLE, FL 32216-6396
(904) 997-8585
Mailing address
8771 PERIMETER PARK CT, SUITE 101, JACKSONVILLE, FL 32216-6396
(904) 997-8585
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC3107
FL
Other
Enumeration date
12/07/2012
Last updated
12/07/2012
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