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Contact Information

HARRIS WILCOX AND DONOVAN PA
2023 PROFESSIONAL CENTER DR
ORANGE PARK, FL32073-4461
 Phone: 904-272-2020
 Fax: 904-272-5762
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Ophthalmology

207W00000X 18 Physician/Ophthalmology
 

Contact Lens

156FC0800X
 

Eyewear Supplier

332H00000X 87 All Other Suppliers
 

Optometrist

152W00000X 41 Optometry
 

Specialist

174400000X
Indicates primary specialty

NPI Profile & details for HARRIS WILCOX AND DONOVAN PA

NPI Number 1023120409
LBN Legal business name HARRIS WILCOX AND DONOVAN PA
Authorized official LUCY DINGMAN - (BILLING REPRESENTATIVE)
Entity Organization
Organization subpart 1 No
Enumeration date 08/31/2006
Last updated 06/27/2024 - More than a year ago
Identifiers
FL Other CB1273 RAIL ROAD MEDICARE
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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