Individual
DR. JASON EDWARD IANNARELLI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1400 HAND AVENUE, UNIT N, ORMOND BEACH, FL 32174
(386) 872-3111
(386) 872-3190
Mailing address
1400 HAND AVENUE, UNIT N, ORMOND BEACH, FL 32174
(386) 872-3111
(386) 872-3190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3902
FL
Other
Enumeration date
06/02/2006
Last updated
03/24/2020
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