Individual
JEFFREY TEGENKAMP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6495 N DAVIS HWY, PENSACOLA, FL 32504-6954
(850) 484-2807
Mailing address
6495 N DAVIS HWY, PENSACOLA, FL 32504-6954
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO3542
FL
Other
Enumeration date
09/09/2016
Last updated
12/06/2022
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