First Coast Optical LLC
NPI #1730639592 in Orange Park, Florida
Provider Information
- NPI Number
- 1730639592
- Entity Type
- Organization
- Organization Name
- First Coast Optical LLC
- Primary Specialty
- Technician/Technologist - Optician
- Enumeration Date
- Oct 5, 2016
- Last Updated
- Oct 5, 2016
Practice Location
- Address
- 179 COLLEGE DR STE 17
- City
- Orange Park
- State
- Florida
- ZIP Code
- 32065-7690
- Phone
- (904) 272-7626
Authorized Official
- Name
- MR. MICHAEL LUNDBERG
- Title
- GENERAL MANAGER
- Phone
- (904) 272-7626
Specialties & Taxonomy Codes
| Specialty |
|---|
| Technician/Technologist - Optician — Optician |
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