Organization
JAKSON EYECARE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KINGA JAKSON O.D. (OPTOMETRIST)
(727) 744-5608
Entity
Organization
Contact information
Practice address
1900 S UNIVERSITY DR, MIRAMAR, FL 33025-2230
(727) 744-5608
Mailing address
1033 NE 17TH WAY, UNIT 1001, FORT LAUDERDALE, FL 33304-2458
(727) 744-5608
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 4455
FL
Other
Enumeration date
11/08/2011
Last updated
11/08/2011
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