Pourkesali Enterprises LLC

NPI #1972812394 in Palm Coast, Florida

Provider Information

NPI Number: 1972812394
Entity Type: Organization
Organization Name: Pourkesali Enterprises LLC
Primary Specialty: Ophthalmology
Enumeration Date: Oct 4, 2010
Last Updated: Oct 4, 2010

Practice Location

Address: 28 OFFICE PARK DR
City: Palm Coast
State: Florida
ZIP Code: 32137-3808
Phone: (386) 246-6289

Authorized Official

Name: DR. MARTIN M POURKESALI, D.O
Title: OWNER
Phone: (386) 246-6289

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Ophthalmology	207W00000X	Primary

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