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Organization
VISUAL HEALTH AT JUPITER EYE CENTER LLC
Active
Organization
VISUAL HEALTH AT JUPITER EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA COFFMAN (ADMINISTARTOR)
(561) 227-3101
Entity
Organization
Contact information
Practice address
102 COASTAL WAY, #103, JUPITER, FL 33477-5004
(561) 747-1111
(561) 744-6682
Mailing address
2889 10TH AVE N, STE 305, LAKE WORTH, FL 33461-3045
(561) 964-0707
(561) 227-3183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
NULL
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
NULL
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
04/09/2010
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