Organization
FLEMING ISLAND 2020 PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SHAROKH KAPADIA OD (OWNER)
(904) 287-9137
Entity
Organization
Contact information
Practice address
1505 COUNTY ROAD 220, ORANGE PARK, FL 32003-7926
(904) 215-3005
Mailing address
161 HAMPTON POINT DR, SUITE 3, ST AUGUSTINE, FL 32092-3057
(904) 287-9137
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3241
FL
152W00000X
Optometrist
OPC3594
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620800200
—
FL
05
—
620801100
—
FL
Enumeration date
06/02/2008
Last updated
02/03/2010
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