Individual
JEROME WEITZEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
213 N LAURA ST, JACKSONVILLE, FL 32202-3501
(904) 353-3163
(904) 355-1813
Mailing address
213 N LAURA ST, JACKSONVILLE, FL 32202-3501
(904) 353-3163
(904) 355-1813
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
700
FL
Other
Enumeration date
11/13/2007
Last updated
11/13/2007
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