Individual
DR. DIANE MARIE CATES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
2036 FORBES ST, JACKSONVILLE, FL 32204-3802
(904) 330-0466
(904) 387-1026
Mailing address
12461 MARIAH ANN CT SOUTH, JACKSONVILLE, FL 32225
(904) 220-6421
(904) 220-6421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003139190A
—
GA
05
—
004670100
—
FL
Enumeration date
10/04/2006
Last updated
11/18/2013
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