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Organization

FIRST COAST EYE ASSOCIATES, PA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. PATRICK J DOMINGO O.D. (PRESIDENT)
(904) 996-0200
Entity
Organization

Contact information

Practice address
11900 ATLANTIC BLVD, JACKSONVILLE, FL 32225-2920
(904) 996-0200
Mailing address
2527 CIMARRONE BLVD, SAINT JOHNS, FL 32259-2186
(904) 996-0200

Taxonomy

Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC3440
FL
152W00000X
Optometrist
Primary
OPC3445
FL

Other

Enumeration date
07/06/2010
Last updated
07/06/2010
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