Organization
ALEJANDRO M TIRADO OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LESLIE MCNEIL (OFFICE MANAGER)
(904) 241-3162
Entity
Organization
Contact information
Practice address
1524 3RD ST N, JACKSONVILLE, FL 32250-7352
(904) 241-3162
(904) 249-7190
Mailing address
1524 3RD ST N, JACKSONVILLE, FL 32250-7352
(904) 241-3162
(904) 249-7190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2566
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1285700252
INDIVIDUAL NPI
FL
Enumeration date
04/07/2009
Last updated
02/16/2010
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