Organization
DIANE MARIE CATES, O.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANE MARIE CATES O.D. (PRESIDENT)
(904) 220-6421
Entity
Organization
Contact information
Practice address
2036 FORBES ST, JACKSONVILLE, FL 32204-3802
(904) 330-0466
Mailing address
12461 MARIAH ANN CT S, JACKSONVILLE, FL 32225-2674
(904) 220-6421
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2901
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004670100
—
FL
Enumeration date
10/31/2011
Last updated
10/21/2013
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