Organization
ANASTASIA JOBSON PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANASTASIA C JOBSON OD (OWNER/OFFICER)
(954) 497-0846
Entity
Organization
Contact information
Practice address
3001 N STATE ROAD 7, LAUDERDALE LAKES, FL 33313-1913
(954) 497-0846
(954) 733-2879
Mailing address
955 NW 100TH AVE, PEMBROKE PINES, FL 33024-4372
(954) 558-0770
(954) 733-2879
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3904
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OPC3904
STATE LICENSE NUMBER
FL
Enumeration date
12/28/2011
Last updated
12/28/2011
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