Individual
JAMIE CONGLETON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
4600 MOBILE HWY, SUITE 122, PENSACOLA, FL 32506-3508
(850) 455-0722
(850) 455-0723
Mailing address
4600 MOBILE HWY STE 9, PMB 139, PENSACOLA, FL 32506-3500
(850) 455-0722
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 5073
FL
Other
Enumeration date
06/24/2015
Last updated
09/25/2015
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