# POURKESALI ENTERPRISES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Palm Coast Eye Physicians
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326478652
- **Authorized official:** DR. MARTIN M POURKESALI D.O (PRESIDENT)
- **Authorized official phone:** (386) 246-6289

## Contact information

- **Practice address:** 391 PALM COAST PKWY SW UNIT 2, PALM COAST, FL 32137-4766
- **Practice address phone:** (386) 246-6289
- **Practice address fax:** (386) 246-6389
- **Mailing address:** 391 PALM COAST PKWY SW UNIT 2, PALM COAST, FL 32137-4766
- **Mailing address phone:** (386) 246-6289
- **Mailing address fax:** (386) 246-6389

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207W00000X | Ophthalmology Physician | OS8658 | FL | Yes |

## Other

- **Enumeration date:** 11/22/2013
- **Last updated:** 11/22/2013