Organization
DAVALT OPTICAL INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA B DAVALT (OWNER)
(904) 353-6229
Entity
Organization
Contact information
Practice address
807 LOMAX ST, JACKSONVILLE, FL 32204-3901
(904) 353-6229
Mailing address
807 LOMAX ST, JACKSONVILLE, FL 32204-3901
(904) 353-6229
Taxonomy
Speciality
Code
Description
License number
State
332H00000X
Eyewear Supplier
Primary
—
—
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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