| NPI | 1538655014 |
|---|---|
| Doing Business As | COASTAL VISION CENTER |
| Entity Type | Organization |
| Authorized Contact | NICHOLE RENE BARNETT Practice Administrator 904-261-5741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME117902) |
| Additional Taxonomies | 207XX0004X Orthopaedic Surgery, Foot and Ankle Surgery |
| Enumeration Date | 2018-07-08 |
| Last Update Date | 2022-12-13 |