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1962954107
SPACE COAST OPHTHALMOLOGY LLC
TITUSVILLE, FL
NPI
1962954107
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Entity Type
Organization
Authorized Contact
NICHOLAS PEFKAROS
President
321-267-0008
Organization Subpart ?
No
Primary Taxonomy
207W00000X Ophthalmology
Enumeration Date
2016-11-03
Last Update Date
2017-03-13
Business Address
SPACE COAST OPHTHALMOLOGY LLC
1832 GARDEN ST
TITUSVILLE, FL 32796-3200
Phone number: 321-433-2310
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Mailing Address
SPACE COAST OPHTHALMOLOGY LLC
1832 GARDEN ST
TITUSVILLE, FL 32796-3200
Phone number: 321-267-0008
Copy
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