First Coast Retina Center PA

NPI #1043209455 in Jacksonville, Florida

Provider Information

NPI Number: 1043209455
Entity Type: Organization
Organization Name: First Coast Retina Center PA
Primary Specialty: Ophthalmology
Enumeration Date: Oct 18, 2005
Last Updated: Jun 18, 2013

Practice Location

Address: 8833 PERIMETER PARK BLVD
Address 2: SUITE 203
City: Jacksonville
State: Florida
ZIP Code: 32216-1109
Phone: (904) 997-1100

Authorized Official

Name: KENNETH RAPPAPORT
Title: CEO
Phone: (904) 997-1100

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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