institution
Gerard A.coluccelli,m.d.
Eyewear Supplier in Jacksonville, Florida
NPI 1134236847

Gerard A.coluccelli,m.d. is a Eyewear Supplier based in Jacksonville, FL. Gerard A.coluccelli,m.d. practices in Jacksonville, FL. The NPI Number for Gerard A.coluccelli,m.d. is 1134236847 and holds a License No. ME39542 (Florida).

The current practice location address for Gerard A.coluccelli,m.d. is 1235 San Marco Blvd, Jacksonville, FL and can be reached out via phone at 904-398-2111 and via fax at 904-346-0712. You can also correspond with Gerard A.coluccelli,m.d. through the mailing address at 1235 SAN MARCO BLVD, JACKSONVILLE, FL - 32207-8554 (mailing address contact number: 904-398-2111).

Location: 1235 San Marco Blvd, Jacksonville, FL, 32207-8554
institution
Provider Profile Details
NPI Number
1134236847
Provider Name
Gerard A.coluccelli,m.d.
Credential
Provider Entity Type
Organization
Address
1235 San Marco Blvd, Jacksonville, FL, 32207-8554
Phone Number
904-398-2111
Fax Number
904-346-0712
Provider Enumeration Date
08/25/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
15671 01 FL BCBS
3948990001 01 FL DMARC
15671X 01 FL MEDICARE
4045150 01 FL AETNA
institution
Provider Business Practice Location Address Details
Address
1235 San Marco Blvd
City
State
Zip
32207-8554
Phone Number
904-398-2111
Fax Number
904-346-0712
person
Provider Business Mailing Address Details
Address
1235 San Marco Blvd
City
State
Zip
32207-8554
Phone Number
904-398-2111
Fax Number
904-346-0712
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Eyewear Supplier
Speciality
-
Taxonomy
License No.
ME39542 (Florida)
Definition
An organization that provides spectacles, contact lenses, and other vision enhancement devices prescribed by an optometrist or ophthalmologist.
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