Palm Coast Eye Center, P.a.

NPI #1053365056 in Sarasota, Florida

Provider Information

NPI Number: 1053365056
Entity Type: Organization
Organization Name: Palm Coast Eye Center, P.a.
Primary Specialty: Ophthalmology
Enumeration Date: May 22, 2006
Last Updated: Apr 10, 2008

Practice Location

Address: 3131 S TAMIAMI TRL
Address 2: SUITE 201
City: Sarasota
State: Florida
ZIP Code: 34239-5101
Phone: (941) 954-2020

Authorized Official

Name: LISA RENEE NICHOLS
Title: PRACTICE MANAGER
Phone: (941) 794-2020

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Optometrist	152W00000X
Ophthalmology	207W00000X	Primary

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