Organization
COCONUT CREEK OPTICAL INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROBERT GOLDSMITH (OPTICIAN)
(954) 975-0009
Entity
Organization
Contact information
Practice address
5351 LYONS RD, COCONUT CREEK, FL 33073-2825
(954) 975-0009
(954) 975-0416
Mailing address
5351 LYONS RD, COCONUT CREEK, FL 33073-2825
(954) 975-0009
(954) 975-0416
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
FL1722
FL
Other
Enumeration date
03/14/2008
Last updated
03/09/2017
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