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Organization

SOUTEL OPTICAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. GARY OTEGA WILLIAMS O.D. (OWNER)
(904) 766-0660
Entity
Organization

Contact information

Practice address
5353 SOUTEL DR SUITE B, JACKSONVILLE, FL 32219-3492
(904) 766-0660
(904) 766-8338
Mailing address
5353 SOUTEL DR SUITE B, JACKSONVILLE, FL 32219-3492
(904) 766-0660
(904) 766-8338

Taxonomy

Speciality
Code
Description
License number
State
152WX0102X
Occupational Vision Optometrist
Primary
OB2437
FL

Other

Enumeration date
04/24/2008
Last updated
04/24/2008
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