Organization
SOUTHEASTERN RETINA SPECIALISTS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHANNON DELP OCS (PRACTICE ADMINISTRATOR)
(904) 527-3577
Entity
Organization
Contact information
Practice address
7740 POINT MEADOWS DR, SUITE 3A, JACKSONVILLE, FL 32256-9179
(904) 527-3577
(904) 527-3514
Mailing address
7740 POINT MEADOWS DR, SUITE 3A, JACKSONVILLE, FL 32256-9179
(904) 527-3577
(904) 527-3514
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0064370
FL
Other
Enumeration date
05/14/2015
Last updated
07/06/2015
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