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Organization

HARRIS WILCOX AND DONOVAN PA

Active
Parent organization
HARRIS WILCOX AND DONOVAN P A
Other names
Clay Eye Physicians & Surgeons
Organization subpart
Yes

Provider details

NPI number
Legal business name
HARRIS WILCOX AND DONOVAN P A
Authorized official
ERIC J KING (PRACTICE ADMINISTRATOR)
(904) 272-2020
Entity
Organization

Contact information

Practice address
1658 ST VINCENTS WAY STE 250, MIDDLEBURG, FL 32068-8431
(904) 272-2020
(904) 276-4386
Mailing address
1658 ST VINCENTS WAY STE 250, MIDDLEBURG, FL 32068-8431
(904) 272-2020
(904) 276-4386

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
CB1273
RAILROAD MEDICARE
FL
Enumeration date
02/05/2021
Last updated
02/05/2021
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