Individual
DR. MARK RICHARD DEWEESE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
7500 CENTURION PKWY STE 100, JACKSONVILLE, FL 32256-0517
(904) 443-1088
Mailing address
7500 CENTURION PKWY STE 100, JACKSONVILLE, FL 32256-0517
(904) 443-1088
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5030
FL
Other
Enumeration date
09/01/2015
Last updated
07/19/2022
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