Organization
COUZENS STAM DOMINGO PA
Active
Other names
Beaches Family Eye Care
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRYAN ANDREW STAM O.D. (PRESIDENT)
(904) 246-4831
Entity
Organization
Contact information
Practice address
905 BEACH BLVD, SUITE B, JACKSONVILLE BEACH, FL 32250-4303
(904) 246-4831
(904) 249-5876
Mailing address
905 BEACH BLVD, SUITE B, JACKSONVILLE BEACH, FL 32250-4303
(904) 246-4831
(904) 249-5876
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC 3453
FL
Other
Enumeration date
02/05/2007
Last updated
11/16/2007
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