Individual
JERIN K JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13159 CITY CENTER BLVD SPACE L-104, JACKSONVILLE, FL 32218
(904) 750-4469
Mailing address
3200 NW 62ND AVE # 481, MARGATE, FL 33063-8303
(954) 309-8647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5975
FL
Other
Enumeration date
07/27/2021
Last updated
05/22/2023
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