Individual
DR. JONATHAN TYLER NEBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9858 CLINT MOORE RD, SUITE 107, BOCA RATON, FL 33496-1034
(703) 447-1644
Mailing address
9858 CLINT MOORE RD, SUITE 107, BOCA RATON, FL 33496-1034
(703) 447-1644
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618001780
VA
152W00000X
Optometrist
Primary
OPC4357
FL
Other
Enumeration date
01/22/2009
Last updated
07/18/2012
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