Grace B Dorado-Foster Doctor Of Optometry Professional Association
Optometrist in Jacksonville, FL. Organization (NPI-2).
NPI number1043978281
StatusActive
Last updated in NPPESDec 6, 2021
Details
- NPI
- 1043978281
- Entity type
- Organization (NPI-2)
- Legal business name
- Grace B Dorado-Foster Doctor Of Optometry Professional Association
- Organization subpart
- No
- Enumeration date
- Dec 6, 2021
- Certification date
- Dec 6, 2021
- Last updated
- Dec 6, 2021
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 152W00000X | Optometrist | – | – | Yes |
Practice location
4890 Big Island Dr Ste 1Jacksonville, FL 32246-7490
Phone 904-379-1260 · Fax 904-564-2646
Mailing address
4890 Big Island Dr Ste 1Jacksonville, FL 32246-7490
Phone 904-379-1260 · Fax 904-564-2646
Authorized official
Grace Dorado
Owner
9043791260
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