# TOWNSHIP EYE ASSOCIATES OF COCONUT CREEK., P.A.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114110426
- **Authorized official:** DR. JOEL NATHAN M.D. (PRESIDENT)
- **Authorized official phone:** (954) 782-9330

## Contact information

- **Practice address:** 4400 W SAMPLE RD, SUITE 154, COCONUT CREEK, FL 33073-3470
- **Practice address phone:** (954) 782-9330
- **Practice address fax:** (954) 977-7401
- **Mailing address:** 4400 W SAMPLE RD, SUITE 154, COCONUT CREEK, FL 33073-3470
- **Mailing address phone:** (954) 782-9330
- **Mailing address fax:** (954) 977-7401

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | ME62339 | FL | Yes |

## Other

- **Enumeration date:** 08/20/2007
- **Last updated:** 08/22/2007