NPI 1003508748
Tammy Deligar Small, LDO
Practice location
- Address
- 10991 San Jose Blvd STE 1, Jacksonville, FL 32223-6600
- Phone
- (904) 260-2719
- Fax
- (904) 260-8878
- Mailing address
- 2819 Begonia Rd, Jacksonville, FL 32209-2301
Registered specialties
Optician
Primary
Registry record
- NPI
- 1003508748
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 22 May 2023
- Record last updated
- 22 May 2023
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.