Organization
COASTAL VISIONCARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEVIN SORENSEN OD (OWNER)
(614) 302-5395
Entity
Organization
Contact information
Practice address
2186 HARRIS AVE NE STE 1, PALM BAY, FL 32905
(321) 724-2020
Mailing address
2186 HARRIS AVE NE STE 1, PALM BAY, FL 32905-4044
(321) 724-2020
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
05/29/2018
Last updated
04/25/2022
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