Individual
DR. REAVES C COLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.D.
Contact information
Practice address
621 SW BAYA DR, SUITE 101, LAKE CITY, FL 32025-4240
(386) 754-6616
(386) 754-6615
Mailing address
621 SW BAYA DR, SUITE 101, LAKE CITY, FL 32025-4240
(386) 754-6616
(386) 754-6615
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
OPC3577
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
620883500
—
FL
Enumeration date
09/24/2006
Last updated
09/12/2013
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