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Individual

JO ELLEN TOMLINSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
1226 FREEPORT HWY S, DEFUNIAK SPRINGS, FL 32435-3396
(850) 892-4022
Mailing address
PO BOX 416, VALPARAISO, FL 32580-0416
(850) 897-2350

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 2567
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20416
BCBS
FL
05
620133400
FL
Enumeration date
07/17/2006
Last updated
07/08/2008
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