Individual
DR. AMY ELIZABETH HUDDLESTON MCDANIEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1640 N JEFFERSON ST, JACKSONVILLE, FL 32209-6526
(904) 475-6310
Mailing address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(386) 365-1691
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
0618002017
VA
152W00000X
Optometrist
OD60093640
WA
152W00000X
Optometrist
Primary
OPC 4516
FL
152WL0500X
Low Vision Rehabilitation Optometrist
0618002017
VA
152WL0500X
Low Vision Rehabilitation Optometrist
OPC 4516
FL
Other
Enumeration date
05/08/2009
Last updated
12/19/2018
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