Organization
GULF COAST OPTOMETRY, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN G BROOKS OD (PRESIDENT)
(239) 896-0046
Entity
Organization
Contact information
Practice address
1725 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6507
(239) 800-1717
(954) 656-1049
Mailing address
1725 W DR MARTIN LUTHER KING JR BLVD, TAMPA, FL 33607-6507
(239) 275-2241
(954) 656-1049
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC 3782
FL
Other
Enumeration date
12/15/2008
Last updated
10/16/2019
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