Individual
JOANNE FORD REED
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
124 TUSCAN WAY, STE 104, ST AUGUSTINE, FL 32092-1851
(904) 547-2691
(904) 547-2695
Mailing address
124 TUSCAN WAY, SUITE 104, ST AUGUSTINE, FL 32092-1851
(904) 547-2691
(904) 547-2695
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003043
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20773
BCBS
FL
05
—
62089500
—
FL
Enumeration date
02/01/2006
Last updated
03/11/2013
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