Individual
DERWIN JONES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LICENSED OPTICIAN
Contact information
Practice address
1750 SW GATLIN BLVD, PORT ST LUCIE, FL 34953-2777
(772) 878-1307
(772) 878-1309
Mailing address
2358 SE SHELTER DR, PORT ST LUCIE, FL 34952-4853
(954) 257-1548
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
5848
FL
Other
Enumeration date
06/05/2023
Last updated
06/05/2023
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