Organization
SPACE COAST OPHTHALMOLOGY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLAS PEFKAROS MD (PRESIDENT)
(321) 267-0008
Entity
Organization
Contact information
Practice address
1832 GARDEN ST, TITUSVILLE, FL 32796-3200
(321) 433-2310
Mailing address
1832 GARDEN ST, TITUSVILLE, FL 32796-3200
(321) 267-0008
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
—
—
Other
Enumeration date
11/03/2016
Last updated
03/13/2017
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