# ATLANTIC RETINA CONSULTANTS

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

## Provider details

- **NPI number:** 1649928490
- **Authorized official:** DR. HETAL VAISHNAV MD (OWNER)
- **Authorized official phone:** (321) 999-7456

## Contact information

- **Practice address:** 175 E NASA BLVD STE 201, MELBOURNE, FL 32901-1998
- **Practice address phone:** (321) 999-7456
- **Mailing address:** PO BOX 560095, ROCKLEDGE, FL 32956-0095

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | NULL | Yes |
| 207WX0107X | Retina Specialist (Ophthalmology) Physician | — | — | Yes |

## Other

- **Enumeration date:** 03/11/2022
- **Last updated:** 09/11/2024