Individual
MR. JAY SHELBY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OPTICIAN
Contact information
Practice address
2420 N STATE ROAD 7, MARGATE, FL 33063-5720
(954) 978-7732
(954) 974-8252
Mailing address
5570 LAKESIDE DR, APT 201, MARGATE, FL 33063-7652
(954) 972-6151
(954) 974-8252
Taxonomy
Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
1835
FL
Other
Enumeration date
01/18/2007
Last updated
07/08/2007
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