# INTRACOASTAL EYECARE' P.A.

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

## Provider details

- **NPI number:** 1639529142
- **Authorized official:** DR. BRUCE GINSBERG (OWNER)
- **Authorized official phone:** (305) 690-7955

## Contact information

- **Practice address:** 3745 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
- **Practice address phone:** (305) 690-7955
- **Mailing address:** 3745 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 152W00000X | Optometrist | OPC2480 | FL | — |
| 152W00000X | Optometrist | OPC2519 | FL | Yes |

## Other

- **Enumeration date:** 06/15/2016
- **Last updated:** 06/15/2016