Individual
JACQUELINE ELIZA ZERMENO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
3200 N WICKHAM RD, STE 1, MELBOURNE, FL 32935-2321
(321) 253-3550
(321) 253-3591
Mailing address
964 S WICKHAM RD, WEST MELBOURNE, FL 32904-1460
(321) 253-3550
(321) 253-3591
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
56653400
—
FL
Enumeration date
08/19/2010
Last updated
02/01/2021
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