PAUL FULGHUM OD PA

JACKSONVILLE, FL
NPI1861644379
Entity TypeOrganization
Authorized ContactPAUL FULGHUM
Owner
904-387-5704
Organization Subpart ?No
Primary Taxonomy152W00000X Optometrist
(Licence: FL  OPC1834)
Enumeration Date2008-10-15
Last Update Date2010-11-03
Business Address
PAUL FULGHUM OD PA
4225 LAKESIDE DR
JACKSONVILLE, FL 32210-3305
Phone number: 904-387-5704
Mailing Address
PAUL FULGHUM OD PA
4225 LAKESIDE DR
JACKSONVILLE, FL 32210-3305
Phone number: 904-387-5704