Individual
DR. JEFFREY SCOTT BLALOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
1524 COUNTY ROAD 220 STE 5, FLEMING ISLAND, FL 32003-4913
(904) 637-2000
(904) 637-2001
Mailing address
1524 COUNTY ROAD 220 STE 5, FLEMING ISLAND, FL 32003-4913
(904) 637-2000
(904) 637-2001
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3085
FL
Other
Enumeration date
10/02/2006
Last updated
10/03/2008
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