Individual
DR. JANET MARIE MINT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OD
Contact information
Practice address
4131 SOUTHSIDE BLVD, STE 203, JACKSONVILLE, FL 32216-5478
(904) 646-9737
(904) 646-9783
Mailing address
4131 SOUTHSIDE BLVD, STE 203, JACKSONVILLE, FL 32216-5478
(904) 646-9737
(904) 646-9783
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC001769
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078616100
—
FL
01
—
FKC1D
BCBS
FL
Enumeration date
10/06/2005
Last updated
04/25/2017
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