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Organization
FOR EYES OPTICAL CO. OF COCONUT GROVE
Active
Organization
FOR EYES OPTICAL CO. OF COCONUT GROVE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSE COSTA (CEO)
(305) 557-9004
Entity
Organization
Contact information
Practice address
1808 W INTERNATIONAL SPEEDWAY BLVD, DAYTONA BEACH, FL 32114-1248
(386) 257-1096
Mailing address
3601 SW 160TH AVE STE 400, MIRAMAR, FL 33027-6312
(305) 557-9004
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
NULL
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
02/06/2019
Last updated
02/06/2019
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