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Organization
TRI COUNTY EYE ASSOCIATES PA
Active
Organization
TRI COUNTY EYE ASSOCIATES PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HENRY E. MILES O.D. (OWNER)
(904) 797-5760
Entity
Organization
Contact information
Practice address
25 DELTONA BLVD, SUITE 1, ST AUGUSTINE, FL 32086-4204
(904) 797-5760
(904) 797-5762
Mailing address
25 DELTONA BLVD, SUITE 1, ST AUGUSTINE, FL 32086-4204
(904) 797-5760
(904) 797-5762
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC2080
FL
Other
Enumeration date
12/29/2006
Last updated
08/17/2023
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