Individual
ANTHONY FRANK FAVALE II
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OD
Contact information
Practice address
953 LANE AVE S, JACKSONVILLE, FL 32205-4706
(904) 786-4442
(904) 786-2515
Mailing address
8614 WESTWOOD CENTER DR FL 9, VIENNA, VA 22182-2442
(703) 847-8899
(571) 223-6780
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2824
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
7684423
CIGNA
FL
Enumeration date
03/01/2006
Last updated
03/10/2023
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