Mint, Janet Marie

Mint, Janet Marie is an individual health care provider with primary practice located at 4131 Southside Blvd Ste 203, Jacksonville FL 32216-5478. She recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as her primary health care specialty. Mint, Janet Marie can be contacted via phone (904) 646-9737.

Contact Information

Primary practice address
4131 Southside Blvd Ste 203 Jacksonville FL 32216-5478
Phone: (904) 646-9737
Fax: (904) 646-9783
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC001769 Florida

Profile Details

NPI number 1902894777
LBN Legal business name Mint, Janet Marie
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 6th, 2005
Last updated Apr 25th, 2017 - about 9 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 1902894777 NPPES
Florida MEDICAID 078616100
Florida Other FKC1D

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