Individual
DR. BRIYANA ALEXIS THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
1536 N JEFFERSON ST, JACKSONVILLE, FL 32209-6525
(904) 475-6310
Mailing address
780 ISLAND POINT DR APT 1215, JACKSONVILLE, FL 32218-5368
(203) 856-1335
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
6337
FL
Other
Enumeration date
07/05/2023
Last updated
09/29/2023
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