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Organization
TOTAL VISION OF PALM COAST INC
Active
Organization
TOTAL VISION OF PALM COAST INC
Active
Other names
Total Vision Eye Health assoc.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PHILLIP LEE STEPHENS O.D. (OWNER)
(386) 445-1880
Entity
Organization
Contact information
Practice address
15 CYPRESS BRANCH WAY, SUITE #205, PALM COAST, FL 32164-8413
(386) 445-1880
(386) 445-8796
Mailing address
15 CYPRESS BRANCH WAY, SUITE #205, PALM COAST, FL 32164-8413
(386) 445-1880
(386) 445-8796
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 0002395
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
078287400
—
FL
Enumeration date
06/13/2007
Last updated
07/24/2008
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