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Organization
JAX VISION CARE, PA
Active
Organization
JAX VISION CARE, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. COLLEEN MARY KING O.D. (OPTOMETRIST)
(904) 472-0084
Entity
Organization
Contact information
Practice address
201 N HOGAN ST STE 100, JACKSONVILLE, FL 32202-4203
(904) 356-9431
(904) 356-2969
Mailing address
201 N HOGAN ST STE 100, JACKSONVILLE, FL 32202-4203
(904) 356-9431
(904) 356-2969
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3718
FL
152W00000X
Optometrist
OPC4005
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002039300
—
FL
Enumeration date
12/02/2009
Last updated
02/27/2025
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