# JONATHAN T NEBB OD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1538499314
- **Authorized official:** DR. JONATHAN NEBB O.D. (PRESIDENT)
- **Authorized official phone:** (703) 447-1644

## Contact information

- **Practice address:** 13740 BEACH BLVD, JACKSONVILLE, FL 32224-6033
- **Practice address phone:** (904) 207-7077
- **Mailing address:** 9734 TAPESTRY PARK CIR, \#405, JACKSONVILLE, FL 32246-9906

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC4357 | FL | Yes |

## Other

- **Enumeration date:** 12/30/2009
- **Last updated:** 06/03/2010