Individual
JEFFREY KYLE WELLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
10490 SAN JOSE BLVD, JACKSONVILLE, FL 32257-6207
(904) 292-2505
(904) 262-1113
Mailing address
3641 RIVERSIDE AVE, JACKSONVILLE, FL 32205-9023
(662) 587-7852
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC5694
FL
Other
Enumeration date
03/26/2019
Last updated
02/20/2025
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