Individual
TAMMY DELIGAR SMALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LDO
Contact information
Practice address
10991 SAN JOSE BLVD STE 1, JACKSONVILLE, FL 32223-6600
(904) 260-2719
(904) 260-8878
Mailing address
2819 BEGONIA RD, JACKSONVILLE, FL 32209-2301
(904) 410-1410
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3139
FL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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