Individual
DR. DAN L. JEFFERIES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2190 9TH ST N, NAPLES, FL 34102-4819
(239) 263-1221
(239) 431-7075
Mailing address
2190 9TH ST N, NAPLES, FL 34102-4819
(239) 263-1221
(239) 431-7075
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1587
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078756600
—
FL
01
—
19654
BCBS OF FLORIDA
FL
01
—
P01445147
RAIL ROAD MEDICARE
FL
Enumeration date
04/06/2007
Last updated
11/04/2022
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