person
Tammy Deligar Small, LDO
Optician in Jacksonville, Florida
NPI 1003508748

Tammy Deligar Small is a Optician based in Jacksonville, FL and is specialized in Optician. Tammy Deligar Small practices in Jacksonville, FL and has the professional credentials of LDO. The NPI Number for Tammy Deligar Small is 1003508748 and holds a License No. DO3139 (Florida).

The current practice location address for Tammy Deligar Small is 10991 San Jose Blvd Ste 1, Jacksonville, FL and can be reached out via phone at 904-260-2719 and via fax at 904-260-8878.

Location: 10991 San Jose Blvd Ste 1, Jacksonville, FL, 32209-2301
person
Provider Profile Details
NPI Number
1003508748
Provider Name
Tammy Deligar Small
Credential
LDO
Provider Entity Type
Individual
Gender
Female
Address
10991 San Jose Blvd Ste 1, Jacksonville, FL, 32209-2301
Phone Number
904-260-2719
Fax Number
904-260-8878
Provider Enumeration Date
05/22/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
10991 San Jose Blvd Ste 1
City
State
Zip
32223-6600
Phone Number
904-260-2719
Fax Number
904-260-8878
person
Provider Business Mailing Address Details
Address
10991 San Jose Blvd Ste 1
City
State
Zip
32223-6600
Phone Number
904-260-2719
Fax Number
904-260-8878
person
Provider's Taxonomy Details 1
Type
Eye and Vision Services Providers
Classification
Technician/Technologist
Speciality
Optician
Taxonomy
License No.
DO3139 (Florida)
Definition
Definition to come...
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