Space Coast Ophthalmology LLC
NPI #1962954107 in Titusville, Florida
Provider Information
- NPI Number
- 1962954107
- Entity Type
- Organization
- Organization Name
- Space Coast Ophthalmology LLC
- Primary Specialty
- Ophthalmology
- Enumeration Date
- Nov 3, 2016
- Last Updated
- Mar 13, 2017
Practice Location
- Address
- 1832 GARDEN ST
- City
- Titusville
- State
- Florida
- ZIP Code
- 32796-3200
- Phone
- (321) 433-2310
Authorized Official
- Name
- NICHOLAS PEFKAROS, MD
- Title
- PRESIDENT
- Phone
- (321) 267-0008
Specialties & Taxonomy Codes
| Specialty |
|---|
| Ophthalmology |
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