Organization
JERIN JOSEPH OD, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JERIN JOSEPH OD (PRESIDENT)
(954) 309-8647
Entity
Organization
Contact information
Practice address
13159 CITY CENTER BLVD SPACE L-104, JACKSONVILLE, FL 32218
(904) 750-4469
Mailing address
7643 GATE PKWY STE 104-2, JACKSONVILLE, FL 32256-3092
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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