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Organization

RETINA ASSOCIATES PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MANSOOR S. MUGHAL (MD)
(904) 388-8446
Entity
Organization

Contact information

Practice address
751 OAK ST STE 300, JACKSONVILLE, FL 32204-3376
(904) 388-8446
(904) 384-6261
Mailing address
751 OAK ST STE 300, JACKSONVILLE, FL 32204-3376
(904) 388-8446
(904) 384-6261

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
ME0053221
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00394479A
MEDICAID
GA
05
048036300
FL
01
05860
BLUE CROSS/BLUE SHIELD
FL
01
180005784
RAILROAD MEDICARE
01
18BDCCP
MEDICARE
GA
01
C12098
RAILROAD MEDICARE
Enumeration date
11/09/2005
Last updated
02/10/2026
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