Individual
MICHAEL ERNST
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6830 NORMANDY BLVD, JACKSONVILLE, FL 32205-1902
(904) 786-2234
(904) 786-2242
Mailing address
676 SOUTHLAND LN, ORANGE PARK, FL 32065-2283
(904) 536-3187
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
DO6456
FL
Other
Enumeration date
05/22/2023
Last updated
05/22/2023
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