Individual
DR. JAMES LAVANCE POWELL III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
9365 ATLANTIC BLVD STE 2, JACKSONVILLE, FL 32225-8218
(904) 721-0704
(904) 721-0706
Mailing address
9365 ATLANTIC BLVD STE 2, JACKSONVILLE, FL 32225-8218
(904) 721-0704
(904) 721-0706
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4052
FL
Other
Enumeration date
01/07/2009
Last updated
07/01/2022
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