Organization
DAVALT PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY ROSS DO (OWNER)
(904) 353-6229
Entity
Organization
Contact information
Practice address
45 W BAY ST STE 101, JACKSONVILLE, FL 32202-3632
(904) 353-6229
Mailing address
45 W BAY ST STE 101, JACKSONVILLE, FL 32202-3632
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
11/19/2025
Last updated
11/19/2025
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