Organization
COLEAN SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN EDWIN COLEAN O.D. (PRESIDENT)
(772) 337-4476
Entity
Organization
Contact information
Practice address
10855 S FEDERAL HWY, PORT ST LUCIE, FL 34952-6410
(772) 337-4476
(772) 335-9258
Mailing address
10855 S FEDERAL HWY, PORT ST LUCIE, FL 34952-6410
(772) 337-4476
(772) 335-9258
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
FLOPC002229
FL
Other
Enumeration date
05/08/2013
Last updated
05/08/2013
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