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Organization
ST JOHNS EYE ASSOCIATES PA
Active
Organization
ST JOHNS EYE ASSOCIATES PA
Active
Other names
St Johns Eye Associates at San Marco
Organization subpart
No
Provider details
NPI number
Authorized official
DONNA MARIE BACKS (CREDENTIALING)
(805) 433-2901
Entity
Organization
Contact information
Practice address
2039 HENDRICKS AVENUE, UNIT 213, JACKSONVILLE, FL 32207-3209
(904) 287-9137
(904) 287-9057
Mailing address
161 HAMPTON POINT DR STE 3, ST AUGUSTINE, FL 32092-3058
(805) 433-2901
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
07/27/2022
Last updated
07/27/2022
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