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Organization

EMERALD COAST EYE INSTITUTE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NOREEN POPPELL (ADMINSTRATIOR)
(850) 862-4001
Entity
Organization

Contact information

Practice address
911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
(850) 862-4001
(850) 862-1612
Mailing address
911 MAR WALT DR, FORT WALTON BEACH, FL 32547-6705
(850) 862-4001
(850) 862-1612

Taxonomy

Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary

Other

Enumeration date
05/09/2006
Last updated
11/06/2023
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