Gaffney, Jeremy Hollis

Gaffney, Jeremy Hollis is an individual health care provider with primary practice located at 2002 S Alexander St , Plant City FL 33563-8410. He recently has only one registered license in Eye and Vision Services Providers / Optometrist, which is considered as his primary health care specialty. Gaffney, Jeremy Hollis can be contacted via phone (813) 856-2020.

Contact Information

Primary practice address
2002 S Alexander St Plant City FL 33563-8410
Phone: (813) 856-2020
Fax: (813) 754-5464
Website:
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Health care specialties

SpecialtyCodeLicense #State
Eye and Vision Services Providers / Optometrist 152W00000X OPC4653 Florida

Profile Details

NPI number 1487935565
LBN Legal business name Gaffney, Jeremy Hollis
Credentials Doctor of Optometry (OD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 2nd, 2011
Last updated Nov 10th, 2022 - about 2 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 1487935565 NPPES
Florida MEDICAID 006578800

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