Individual
KIMBERLY ANN RIORDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1325 SAN MARCO BLVD, SUITE 900, JACKSONVILLE, FL 32207-8568
(904) 346-3506
(904) 733-2532
Mailing address
11945 SAN JOSE BLVD STE 300, JACKSONVILLE, FL 32223-1627
(904) 396-1725
(904) 396-4893
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4551
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1908J
BCBS-FL
FL
01
—
DP944W
MEDICARE
FL
01
—
P01386714
RAILROAD MEDICARE
FL
Enumeration date
06/30/2009
Last updated
05/27/2022
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