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Individual

GARY MARK AKEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OD

Contact information

Practice address
953 LANE AVE S, JACKSONVILLE, FL 32205
(904) 786-4442
(904) 786-2515
Mailing address
953 LANE AVE S, JACKSONVILLE, FL 32205-4706
(904) 786-4442
(904) 786-2515

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC1456
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
084977400
FL
Enumeration date
03/08/2006
Last updated
01/03/2012
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