# JANET A BETCHKAL MD PA

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

## Provider details

- **NPI number:** 1851713887
- **Authorized official:** JANET ANN BETCHKAL, M.D. MD PA (OWNER / PHYSICIAN)
- **Authorized official phone:** (904) 384-3500

## Contact information

- **Practice address:** 3 SHIRCLIFF WAY, SUITE 134, JACKSONVILLE, FL 32204-4757
- **Practice address phone:** (904) 384-3500
- **Practice address fax:** (904) 388-9132
- **Mailing address:** 3 SHIRCLIFF WAY STE 134, JACKSONVILLE, FL 32204-4785
- **Mailing address phone:** (904) 384-3500
- **Mailing address fax:** (904) 388-9132

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/10/2014
- **Last updated:** 07/15/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 024956300 | — | FL |