Individual
JEREMY HOLLIS GAFFNEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
2002 S ALEXANDER ST, PLANT CITY, FL 33563-8410
(813) 856-2020
(813) 754-5464
Mailing address
403 VONDERBURG DR, BRANDON, FL 33511-5982
(813) 681-1122
(813) 684-4924
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4653
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006578800
—
FL
Enumeration date
09/02/2011
Last updated
11/10/2022
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