Organization
JANET M. MINT, O.D., PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET MARIE MINT O.D, (PRESIDENT)
(904) 646-9737
Entity
Organization
Contact information
Practice address
4131 SOUTHSIDE BLVD, SUITE 203, JACKSONVILLE, FL 32216-5478
(904) 646-9737
(904) 646-9783
Mailing address
4131 SOUTHSIDE BLVD, SUITE 203, JACKSONVILLE, FL 32216-5478
(904) 646-9737
(904) 646-9783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078616100
—
FL
Enumeration date
02/24/2012
Last updated
03/16/2016
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