Organization
JUPITER EYE SURGERY CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOM COFFMAN MD (OWNER)
(561) 964-0707
Entity
Organization
Contact information
Practice address
102 COASTAL WAY, JUPITER, FL 33477-5004
(561) 227-3185
Mailing address
2889 10TH AVE N, STE 305, PALM SPRINGS, FL 33461-3045
(561) 227-3185
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
983
FL
Other
Enumeration date
06/17/2008
Last updated
05/24/2021
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