Individual
MRS. JENNIFER MYLES IANNARELLI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.D.
Contact information
Practice address
1400 HAND AVE STE N, ORMOND BEACH, FL 32174-8196
(386) 872-3111
(386) 872-3190
Mailing address
1400 HAND AVE STE N, ORMOND BEACH, FL 32174-8196
(386) 872-3111
(386) 872-3190
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3926
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620993900
—
FL
Enumeration date
02/13/2006
Last updated
09/28/2021
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