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Southern Eye Institute
Specialist in Jacksonville, Florida
NPI 1770770398

Southern Eye Institute is a Specialist based in Jacksonville, FL. Southern Eye Institute practices in Jacksonville, FL. The NPI Number for Southern Eye Institute is 1770770398 and holds a License No. OS6694 (Florida).

The current practice location address for Southern Eye Institute is 720 N Ocean St, Jacksonville, FL and can be reached out via phone at 904-355-0115 and via fax at 904-355-5602.

Location: 720 N Ocean St, Jacksonville, FL, 32202-3043
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1770770398
Provider Name
Southern Eye Institute
Credential
Provider Entity Type
Organization
Address
720 N Ocean St, Jacksonville, FL, 32202-3043
Phone Number
904-355-0115
Fax Number
904-355-5602
Provider Enumeration Date
09/27/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
375356500 05 FL
80878 01 FL BLUE CROSS BLUE SHIELD
180025854 01 FL RAIL ROAD MEDICARE
institution
Provider Business Practice Location Address Details
Address
720 N Ocean St
City
Jacksonville
State
Florida
Zip
32202-3043
Phone Number
904-355-0115
Fax Number
904-355-5602
person
Provider Business Mailing Address Details
Address
720 N Ocean St
City
Jacksonville
State
Florida
Zip
32202-3043
Phone Number
904-355-0115
Fax Number
904-355-5602
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
OS6694 (Florida)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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