Organization
TOMOKA EYE ASSOCIATES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALLISON KERN (OFFICE/BILLING MANAGER)
(386) 506-8403
Entity
Organization
Contact information
Practice address
345 CLYDE MORRIS BLVD, SUITE 330, ORMOND BEACH, FL 32174-3111
(376) 672-4244
(386) 672-0603
Mailing address
790 DUNLAWTON AVE, SUITE A, PORT ORANGE, FL 32127-9279
(376) 767-0053
(386) 767-3490
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
256352503
—
FL
Enumeration date
05/12/2006
Last updated
03/06/2020
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