Organization
INTRACOASTAL EYECARE' P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BRUCE GINSBERG (OWNER)
(305) 690-7955
Entity
Organization
Contact information
Practice address
3745 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
(305) 690-7955
Mailing address
3745 NE 163RD ST, NORTH MIAMI BEACH, FL 33160-4104
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
OPC2480
FL
152W00000X
Optometrist
Primary
OPC2519
FL
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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