Organization
AMELIA EYE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GERALD WILLIAM KOSS II O.D. (MANAGING MEMBER)
(904) 321-1333
Entity
Organization
Contact information
Practice address
1411 S 14TH ST, SUITE G, FERNANDINA BEACH, FL 32034-3031
(904) 321-1333
(904) 277-1255
Mailing address
1411 S 14TH ST, SUITE G, FERNANDINA BEACH, FL 32034-3031
(904) 321-1333
(904) 277-1255
Taxonomy
Speciality
Code
Description
License number
State
152WC0802X
Corneal and Contact Management Optometrist
Primary
OPC4033
FL
Other
Enumeration date
06/16/2014
Last updated
09/12/2014
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