Individual
JUSTIN WAYNE KNUCKLES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
415 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5235
(386) 427-4143
(386) 410-2074
Mailing address
415 N CAUSEWAY, NEW SMYRNA BEACH, FL 32169-5235
(386) 427-4143
(386) 410-2074
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5394
FL
Other
Enumeration date
04/24/2017
Last updated
09/03/2024
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