# RETINA ASSOCIATES PA

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

## Provider details

- **NPI number:** 1619958352
- **Authorized official:** MANSOOR S. MUGHAL (MD)
- **Authorized official phone:** (904) 388-8446

## Contact information

- **Practice address:** 751 OAK ST STE 300, JACKSONVILLE, FL 32204-3376
- **Practice address phone:** (904) 388-8446
- **Practice address fax:** (904) 384-6261
- **Mailing address:** 751 OAK ST STE 300, JACKSONVILLE, FL 32204-3376
- **Mailing address phone:** (904) 388-8446
- **Mailing address fax:** (904) 384-6261

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME0053221 | FL | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 02/10/2026

## 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 | — |