Individual
MRS. PATRICIA E. DAVALT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPTICIAN
Contact information
Practice address
807 LOMAX ST, JACKSONVILLE, FL 32204-3901
(904) 353-6229
(904) 353-6229
Mailing address
807 LOMAX ST, JACKSONVILLE, FL 32204-3901
(904) 353-6229
(904) 353-6229
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1713
FL
Other
Enumeration date
12/21/2006
Last updated
01/29/2008
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