Individual
DR. JERRY LEE ROBBEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
206 ASHOURIAN AVE STE 215, ST AUGUSTINE, FL 32092-5107
(904) 296-0098
Mailing address
PO BOX 11407, BIRMINGHAM, AL 35246-8575
(864) 359-1308
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4572
FL
Other
Enumeration date
09/23/2010
Last updated
07/22/2025
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