Organization
JANET A BETCHKAL MD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET ANN BETCHKAL, M.D. MD PA (OWNER / PHYSICIAN)
(904) 384-3500
Entity
Organization
Contact information
Practice address
3 SHIRCLIFF WAY, SUITE 134, JACKSONVILLE, FL 32204-4757
(904) 384-3500
(904) 388-9132
Mailing address
3 SHIRCLIFF WAY STE 134, JACKSONVILLE, FL 32204-4785
(904) 384-3500
(904) 388-9132
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
024956300
—
FL
Enumeration date
01/10/2014
Last updated
07/15/2019
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