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Organization
HARRIS WILCOX AND DONOVAN P A
Active
Organization
HARRIS WILCOX AND DONOVAN P A
Active
Parent organization
HARRIS, WILCOX AND DONOVAN, P.A.
Other names
Clay Eye Physicians and Surgeons
Organization subpart
Yes
Provider details
NPI number
Legal business name
HARRIS, WILCOX AND DONOVAN, P.A.
Authorized official
ERIC J KING (ADMINISTRATOR)
(904) 272-2020
Entity
Organization
Contact information
Practice address
1855 EASTWEST PKWY, FLEMING ISLAND, FL 32003-6348
(904) 272-2020
(904) 272-5762
Mailing address
1855 EASTWEST PKWY, FLEMING ISLAND, FL 32003-6348
(904) 272-2020
(904) 272-5762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
174400000X
Specialist
—
NULL
174400000X
Specialist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
332H00000X
Eyewear Supplier
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CB1273
RAILROAD MEDICARE
FL
Enumeration date
03/09/2007
Last updated
11/05/2021
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