Organization
OPTICAL AT SOUTHPOINT
Active
Parent organization
ERNST NICOLITZ, M.D., P.A.
Organization subpart
Yes
Provider details
NPI number
Legal business name
ERNST NICOLITZ, M.D., P.A.
Authorized official
DR. ERNST NICOLITZ M.D. (PRESIDENT)
(904) 398-2720
Entity
Organization
Contact information
Practice address
7051 SOUTHPOINT PKWY, 3RD FLOOR, JACKSONVILLE, FL 32216-8713
(904) 398-2720
(904) 483-5640
Mailing address
7051 SOUTHPOINT PKWY, 3RD FLOOR, JACKSONVILLE, FL 32216-8713
(904) 398-2720
(904) 483-5640
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
ME31869
ZZ
Other
Enumeration date
04/29/2010
Last updated
04/29/2010
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