Individual
JERIN K JOSEPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
13159 CITY CENTER BLVD SPC L-104, JACKSONVILLE, FL 32218-7291
(904) 750-4469
(904) 683-5851
Mailing address
7643 GATE PKWY STE 104-2, JACKSONVILLE, FL 32256-3092
(954) 309-8647
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5975
FL
Other
Enumeration date
07/27/2021
Last updated
07/08/2026
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