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Organization
SPACE COAST EYE CARE INC.
Active
Organization
SPACE COAST EYE CARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHRISTOPHER M ALLEN O.D. (OPTOMETRIST/PRESIDENT)
(321) 723-9350
Entity
Organization
Contact information
Practice address
1051 PORT MALABAR BLVD NE STE 14, PALM BAY, FL 32905-5153
(321) 474-0491
(321) 723-9397
Mailing address
1051 PORT MALABAR BLVD NE STE 14, PALM BAY, FL 32905-5153
(321) 474-0491
(321) 723-9397
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC4290
FL
Other
Enumeration date
12/05/2011
Last updated
12/05/2011
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