Organization
MANDARIN EYECARE ASSOC, INC
Active
Other names
Mandarin Eyecare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY ALAN HATHY L.D.O. (OWNER)
(904) 292-3975
Entity
Organization
Contact information
Practice address
11111 SAN JOSE BLVD, SUITE 44, JACKSONVILLE, FL 32223-7946
(904) 292-3975
(904) 292-5322
Mailing address
11111 SAN JOSE BLVD, SUITE 44, JACKSONVILLE, FL 32223-7946
(904) 292-3975
(904) 292-5322
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
FL3574
FL
Other
Enumeration date
03/30/2007
Last updated
02/22/2011
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