Jablonski, Richard A

Jablonski, Richard A is an sole proprietor health care provider with primary practice located at 1425 Hand Ave Ste A, Ormond Beach FL 32174-1135. He recently has only one registered license in Allopathic & Osteopathic Physicians / Ophthalmology, which is considered as his primary health care specialty. Jablonski, Richard A can be contacted via phone (386) 673-3344.

Contact Information

Primary practice address
1425 Hand Ave Ste A Ormond Beach FL 32174-1135
Phone: (386) 673-3344
Fax: (386) 672-1854
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Ophthalmology 207W00000X 0S3838 Florida

Profile Details

NPI number 1760474399
LBN Legal business name Jablonski, Richard A
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Oct 26th, 2011 - about 15 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760474399 NPPES
Florida MEDICAID 038175600

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