Organization
JAY ANANTHAN-NAIR OD P A
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JAYAKUMAR ANANTHAN-NAIR O.D., PHD (PRESIDENT)
(386) 860-3812
Entity
Organization
Contact information
Practice address
1308 E NORMANDY BLVD STE D, DELTONA, FL 32725-8448
(386) 668-3812
Mailing address
1308 E NORMANDY BLVD STE D, DELTONA, FL 32725-8448
(386) 668-3812
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FL2940
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620194600
—
FL
Enumeration date
02/13/2008
Last updated
06/02/2008
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