Individual
MARY ELIZA V DELCAMPO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
9400 ATLANTIC BLVD, SUITE 62, JACKSONVILLE, FL 32225
(904) 721-7700
(904) 721-0051
Mailing address
1950 OLD GALLOWS RD STE 520, VIENNA, VA 22182-3970
(703) 847-8899
(866) 795-4020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3333
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620947500
—
FL
Enumeration date
07/28/2006
Last updated
08/10/2018
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