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Organization

ABERNATHY SHORTRIDGE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. LOUIS E SHORTRIDGE JR. LDO (PRESIDENT)
(904) 355-6245
Entity
Organization

Contact information

Practice address
1001 PARK ST, JACKSONVILLE, FL 32204-3907
(904) 355-6245
(904) 353-8904
Mailing address
1001 PARK ST, JACKSONVILLE, FL 32204-3907
(904) 355-6245
(904) 353-8904

Taxonomy

Speciality
Code
Description
License number
State
156FX1800X
Optician
Primary
00274
FL

Other

Enumeration date
12/19/2006
Last updated
06/13/2008
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