# FAMILY EYE CARE CENTER OF JACKSONVILLE PA

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

## Provider details

- **NPI number:** 1598729352
- **Authorized official:** DR. ADAM DAVID KOENIGSBERG MD (PRESIDENT)
- **Authorized official phone:** (904) 996-7774

## Contact information

- **Practice address:** 8833 PERIMETER PARK BLVD, SUITE 403, JACKSONVILLE, FL 32216-1110
- **Practice address phone:** (904) 996-7774
- **Practice address fax:** (904) 996-9511
- **Mailing address:** 8833 PERIMETER PARK BLVD, SUITE 403, JACKSONVILLE, FL 32216-1110
- **Mailing address phone:** (904) 996-7774
- **Mailing address fax:** (904) 996-9511

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME75604 | FL | Yes |

## Other

- **Enumeration date:** 04/17/2006
- **Last updated:** 03/10/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 259193600 | — | FL |