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Search › Florida › 152W00000X

Peter Im, O.D

NPI 1922078583 · on the registry since 2006

Practice

Address
2080 Child St
Jacksonville, FL 32214
Phone
(904) 542-7194
Organisation at this address
Nh Jax
Nh Jacksonville
Nh Jacksonville
United States Navy
The Chesapeake Center
Inferred from a shared address, not stated in the registry.
Clinicians at this address
430

Registry record

Primary taxonomy
152W00000X
152W00000X
Also registered as
152W00000X
152W00000X
Licence states on file
WA, OR, CA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2019-02-27

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Florida