Organization
JONATHAN T NEBB OD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JONATHAN NEBB O.D. (PRESIDENT)
(703) 447-1644
Entity
Organization
Contact information
Practice address
13740 BEACH BLVD, JACKSONVILLE, FL 32224-6033
(904) 207-7077
Mailing address
9734 TAPESTRY PARK CIR, #405, JACKSONVILLE, FL 32246-9906
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4357
FL
Other
Enumeration date
12/30/2009
Last updated
06/03/2010
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