Individual
DR. MICHAEL ALLEN POWERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
3546 ST JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL 32224
(904) 996-1533
(904) 996-1535
Mailing address
3546 ST JOHNS BLUFF RD S, UNIT 203, JACKSONVILLE, FL 32224
(904) 996-1533
(904) 996-1535
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3509
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
043609673
TAX IDENTIFICATION NUMBER
FL
01
—
20725
BCBS
FL
05
—
620752900
—
FL
Enumeration date
05/01/2006
Last updated
01/30/2014
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