Individual
JAY S ROSEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
4790 BARKLEY CIR BLDG C-103, FORT MYERS, FL 33907-7543
(239) 936-8686
(239) 936-2532
Mailing address
4790 BARKLEY CIR BLDG C-103, FORT MYERS, FL 33907-7543
(239) 936-8686
(239) 936-2532
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP0002790
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250273900
—
FL
Enumeration date
09/12/2005
Last updated
03/24/2011
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