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Organization
VISION SOURCE OF EAST BROWARD LLC
Active
Organization
VISION SOURCE OF EAST BROWARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON STEPHEN JACOBS (DOCTOR)
(954) 771-9120
Entity
Organization
Contact information
Practice address
2419 E COMMERCIAL BLVD STE 100, FORT LAUDERDALE, FL 33308
(954) 771-9120
(954) 771-4883
Mailing address
2419 E COMMERCIAL BLVD STE 100, FORT LAUDERDALE, FL 33308-4042
(954) 771-9120
(954) 771-4883
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC951
FL
Other
Enumeration date
02/14/2008
Last updated
06/28/2018
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