Individual
DR. DIANE BROWN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
13490 BEACH BLVD, JACKSONVILLE, FL 32224-0290
(904) 992-4100
Mailing address
13218 ARABELLA DR, JACKSONVILLE, FL 32224-1355
(904) 234-7338
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3642
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
29553
MEDICAL EYE SERVICES
FL
01
—
928120
BLOCK VISION
FL
Enumeration date
03/02/2007
Last updated
03/26/2021
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