Organization
ROBERT GERSON O.D.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT GERSON O.D. (OPTOMETRIST)
(904) 771-8321
Entity
Organization
Contact information
Practice address
3737 BLANDING BLVD, JACKSONVILLE, FL 32210-5242
(904) 771-8321
(904) 771-3389
Mailing address
3737 BLANDING BLVD, JACKSONVILLE, FL 32210-5242
(904) 771-8321
(904) 771-3389
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
084336900
—
FL
Enumeration date
07/20/2012
Last updated
07/20/2012
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