Mary M Futch Od PA

NPI #1508122854 in Macclenny, Florida

Provider Information

NPI Number: 1508122854
Entity Type: Organization
Organization Name: Mary M Futch Od PA
Primary Specialty: Optometrist
Enumeration Date: Apr 11, 2012
Last Updated: Aug 6, 2012

Practice Location

Address: 31 S 6TH ST
City: Macclenny
State: Florida
ZIP Code: 32063-2311
Phone: (904) 259-6259

Authorized Official

Name: DR. MARY MARTHA FUTCH, OD
Title: PRESIDENT
Phone: (904) 259-6259

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X	Primary

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