Organization
VISUAL HEALTH AT JUPITER EYE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MADONNA COFFMAN (ADMINISTARTOR)
(561) 227-3101
Entity
Organization
Contact information
Practice address
102 COASTAL WAY, #103, JUPITER, FL 33477-5004
(561) 747-1111
(561) 744-6682
Mailing address
2889 10TH AVE N, STE 305, LAKE WORTH, FL 33461-3045
(561) 964-0707
(561) 227-3183
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
—
—
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
08/30/2006
Last updated
04/09/2010
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