# ANASTASIA JOBSON PA

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

## Provider details

- **NPI number:** 1619246295
- **Authorized official:** DR. ANASTASIA C JOBSON OD (OWNER/OFFICER)
- **Authorized official phone:** (954) 497-0846

## Contact information

- **Practice address:** 3001 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-1913
- **Practice address phone:** (954) 497-0846
- **Practice address fax:** (954) 733-2879
- **Mailing address:** 955 NW 100TH AVE, PEMBROKE PINES, FL 33024-4372
- **Mailing address phone:** (954) 558-0770
- **Mailing address fax:** (954) 733-2879

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC3904 | FL | Yes |

## Other

- **Enumeration date:** 12/28/2011
- **Last updated:** 12/28/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | OPC3904 | STATE LICENSE NUMBER | FL |