Individual
ANGELICA JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
778 BEAL PKWY NW, FORT WALTON BEACH, FL 32547-3042
(850) 586-7888
Mailing address
4633 HERMOSA RD, CRESTVIEW, FL 32539-6734
(601) 818-1428
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5892
FL
152W00000X
Optometrist
SE68TAC09
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0
N/A
—
Enumeration date
02/08/2021
Last updated
06/06/2023
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