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Organization
RETINA ASSOCIATES PA
Active
Organization
RETINA ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANSOOR S. MUGHAL (MD)
(904) 388-8446
Entity
Organization
Contact information
Practice address
751 OAK ST STE 300, JACKSONVILLE, FL 32204-3376
(904) 388-8446
(904) 384-6261
Mailing address
751 OAK ST STE 300, JACKSONVILLE, FL 32204-3376
(904) 388-8446
(904) 384-6261
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0053221
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00394479A
MEDICAID
GA
05
—
048036300
—
FL
01
—
05860
BLUE CROSS/BLUE SHIELD
FL
01
—
180005784
RAILROAD MEDICARE
—
01
—
18BDCCP
MEDICARE
GA
01
—
C12098
RAILROAD MEDICARE
—
Enumeration date
11/09/2005
Last updated
02/10/2026
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