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Individual

DR. JORDAN PATRICK DAU

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
O.D.

Contact information

Practice address
132 EVEREST LN STE 5, SAINT JOHNS, FL 32259-4090
(402) 540-0648
(888) 972-2191
Mailing address
132 EVEREST LN STE 5, SAINT JOHNS, FL 32259-4090
(402) 540-0648

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5048
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
015027100
FL
Enumeration date
06/03/2015
Last updated
07/21/2022
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