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Organization
ST JOHNS EYE ASSOCIATES PA
Active
Organization
ST JOHNS EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAROKH KAPADIA OD (OWNER)
(904) 287-9137
Entity
Organization
Contact information
Practice address
161 HAMPTON POINT DR, SUITE 3, ST AUGUSTINE, FL 32092-3057
(904) 287-9137
(904) 287-9057
Mailing address
161 HAMPTON POINT DR STE 3, ST AUGUSTINE, FL 32092-3058
(904) 287-9137
(904) 287-9057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620800200
—
FL
05
—
620801100
—
FL
Enumeration date
07/11/2007
Last updated
07/21/2022
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