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Individual

DR. DANA MARIE NOLAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OD

Contact information

Practice address
3588 SAINT JOHNS AVE, JACKSONVILLE, FL 32205-8446
(904) 388-7767
(904) 388-0067
Mailing address
3588 SAINT JOHNS AVE, JACKSONVILLE, FL 32205-8446
(904) 388-7767
(904) 388-0067

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC003292
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
20856
BLUE CROSS BLUE SHIELD FL
FL
01
2203753
UNITED HEALTHCARE
05
620382500
FL
01
7524090
AETNA
FL
Enumeration date
09/26/2005
Last updated
09/24/2012
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