Organization
DR. AMANDA WEITZEN, O.D. ,LLC
Active
Other names
Dr. Amanda Weitzen
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA BETH WEITZEN O.D. (OWNER)
(904) 997-2018
Entity
Organization
Contact information
Practice address
4131 SOUTHSIDE BLVD, STE 201, JACKSONVILLE, FL 32216-5478
(904) 997-2018
(904) 997-2033
Mailing address
4131 SOUTHSIDE BLVD, STE 201, JACKSONVILLE, FL 32216-5478
(904) 997-2018
(904) 997-2033
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4248
FL
Other
Enumeration date
03/21/2010
Last updated
03/21/2010
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