Individual
DR. MIGUEL A ESTRADA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
9480 ARLINGTON EXPY, JACKSONVILLE, FL 32225-8231
(904) 721-7667
(904) 721-5668
Mailing address
9480 ARLINGTON EXPY, JACKSONVILLE, FL 32225-8231
(904) 721-7667
(904) 721-5668
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2512
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001996300
—
FL
Enumeration date
10/02/2006
Last updated
06/30/2010
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