Individual
DR. RICHARD BRUCE JENSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
414 GARDEN ST, TITUSVILLE, FL 32796-2848
(321) 267-0231
(321) 267-0234
Mailing address
414 GARDEN ST, TITUSVILLE, FL 32796-2848
(321) 267-0231
(321) 267-0234
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1228
FL
Other
Enumeration date
12/04/2006
Last updated
01/30/2010
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