Individual
ANTHONY L. STUBITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
6 SOUTH 14TH STREET, FERNANDINA BEACH, FL 32034
(904) 261-5741
(904) 261-7383
Mailing address
6 SOUTH 14TH STREET, FERNANDINA BEACH, FL 32034
(904) 261-5741
(904) 261-7383
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
1001
GA
152W00000X
Optometrist
Primary
1785
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000254141C
—
GA
05
—
0254141B
—
GA
05
—
0782262
—
FL
Enumeration date
11/01/2006
Last updated
01/07/2019
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