Organization
FAMILY EYE CARE CENTER OF JACKSONVILLE PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ADAM DAVID KOENIGSBERG MD (PRESIDENT)
(904) 996-7774
Entity
Organization
Contact information
Practice address
8833 PERIMETER PARK BLVD, SUITE 403, JACKSONVILLE, FL 32216-1110
(904) 996-7774
(904) 996-9511
Mailing address
8833 PERIMETER PARK BLVD, SUITE 403, JACKSONVILLE, FL 32216-1110
(904) 996-7774
(904) 996-9511
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME75604
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
259193600
—
FL
Enumeration date
04/17/2006
Last updated
03/10/2011
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