# JUPITER EYE DOCTORS, LLC

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

## Provider details

- **NPI number:** 1134842610
- **Authorized official:** DR. DOMINICK GOLIO MD (MANAGER)
- **Authorized official phone:** (305) 534-0121

## Contact information

- **Practice address:** 10088 INDIANTOWN RD STE B, JUPITER, FL 33478-4738
- **Practice address phone:** (561) 250-0677
- **Mailing address:** 10088 INDIANTOWN RD STE B, JUPITER, FL 33478-4738
- **Mailing address phone:** (561) 250-0677

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | — | NULL | — |
| 152W00000X | Optometrist | — | — | — |
| 207T00000X | Neurological Surgery Physician | — | NULL | — |
| 207T00000X | Neurological Surgery Physician | — | — | — |
| 207W00000X | Ophthalmology Physician | — | NULL | Yes |
| 207W00000X | Ophthalmology Physician | — | — | Yes |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 207WX0200X | Ophthalmic Plastic and Reconstructive Surgery Physician | — | — | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | NULL | — |
| 2086S0122X | Plastic and Reconstructive Surgery Physician | — | — | — |
| 2086X0206X | Surgical Oncology Physician | — | NULL | — |
| 2086X0206X | Surgical Oncology Physician | — | — | — |

## Other

- **Enumeration date:** 09/20/2022
- **Last updated:** 09/20/2022