Organization
FAMILY EYE CARE OF PALM COAST, INC
Active
Organization
FAMILY EYE CARE OF PALM COAST, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. BONNIE M CHALKER O.D. (OWNER)
(386) 225-4553
Entity
Organization
Contact information
Practice address
4 OFFICE PARK DR, SUITE 4, PALM COAST, FL 32137-3855
(386) 225-4553
(386) 225-4558
Mailing address
4 OFFICE PARK DR, SUITE 4, PALM COAST, FL 32137-3855
(386) 225-4553
(386) 225-4558
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
OPC 3585
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000095900
—
FL
01
—
1316998529
NPI
—
Enumeration date
08/01/2014
Last updated
08/01/2014
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