Individual
DR. HENRY GATES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
3636 UNIVERSITY BLVD S STE A2, JACKSONVILLE, FL 32216-4210
(904) 739-0606
(904) 739-0609
Mailing address
US ARMY MEDDAC BAVARIA, CMR 411 UNIT 28037, APO, AE 09112
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
2060
SC
152W00000X
Optometrist
Primary
6582
FL
Other
Enumeration date
09/04/2018
Last updated
03/27/2025
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