Palm Coast Eye Center, P.a.

NPI 1053365056 - Optometrist - 152W00000X

NPI Details
NPI 1053365056
Enumeration Date 05/22/2006
Last Updated 04/10/2008
Entity Type Healthcare Provider
Active Over 10 years ago
Authorized Information
Name LISA RENEE LISA
Position PRACTICE MANAGER
Phone (941) 954-2020
Fax (941) 953-3937
Practice Location
3131 S TAMIAMI TRL
SUITE 201
SARASOTA FL, 34239-5101, US
Phone (941) 954-2020
Fax (941) 953-3937
Business Location
5601 21ST AVE W
BRADENTON FL, 34209-5642, US
Phone (941) 794-2020
Fax (941) 792-3464
Toxanomy
Taxonomy Code 152W00000X
License State Florida
License Number OPC3917
Remove 1053365056 NPI Number
 

According to our database, Palm Coast Eye Center, P.a. NPI is 1053365056, taxonomy code is 152W00000X and license number is OPC3917, license state is located at Florida. Palm Coast Eye Center, P.a. physically located at 3131 S Tamiami Trl, Sarasota FL, 34239-5101. NPI Number 1033115704 has the healthcare provider type.

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1053365056 NPI number is provided on an as is basis without warranty of any kind. 1053365056 is maintained by the National Plan & Provider Enumeration System. The contents of Palm Coast Eye Center, P.a. are for informational purposes only.