Individual
DR. ADELE DEBRA PAUL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13227 CITY SQUARE DR, JACKSONVILLE, FL 32218-7218
(904) 696-1433
(904) 751-5807
Mailing address
13227 CITY SQUARE DR, JACKSONVILLE, FL 32218-7218
(904) 696-1433
(904) 751-5807
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2093
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
086912100
—
FL
01
—
20239
BLUE CROSS BLUE SHIELD
FL
01
—
650126036
VSP
FL
Enumeration date
06/23/2006
Last updated
01/27/2014
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