Individual
JARED ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
899 BLANDING BLVD, ORANGE PARK, FL 32065-8917
(904) 276-1882
Mailing address
100 MAGNOLIA ST APT 5410, JACKSONVILLE, FL 32204-2255
(904) 678-6485
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
6470
FL
Other
Enumeration date
01/30/2025
Last updated
01/30/2025
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