Individual
AMANDA BATEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1233 LANE AVE S, STE 31, JACKSONVILLE, FL 32205-6254
(904) 781-6770
Mailing address
1233 LANE AVE S STE 31, JACKSONVILLE, FL 32205-6254
(904) 781-6770
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
5814
FL
Other
Enumeration date
05/22/2020
Last updated
05/09/2022
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