Individual
BEN JAY GALLATY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3151 ASH GROVE RD, JACKSONVILLE, FL 32226-2097
(904) 757-9904
Mailing address
3151 ASH GROVE RD, JACKSONVILLE, FL 32226-2097
(904) 757-9904
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OP1385
FL
Other
Enumeration date
04/07/2009
Last updated
06/02/2009
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