Individual
DR. ANTHONY JAMES POTOCHICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
2036 FORBES ST, JACKSONVILLE, FL 32204-3802
(904) 387-4057
Mailing address
2036 FORBES ST, JACKSONVILLE, FL 32204-3802
(904) 387-4057
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
2902
FL
Other
Enumeration date
06/11/2006
Last updated
12/20/2007
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