Coconut Creek Optical INC.
Durable Medical Equipment & Medical Supplies in Coconut Creek, FL. Organization (NPI-2).
NPI number1649441981
StatusActive
Last updated in NPPESMar 9, 2017
Details
- NPI
- 1649441981
- Entity type
- Organization (NPI-2)
- Legal business name
- Coconut Creek Optical INC.
- Organization subpart
- No
- Enumeration date
- Mar 14, 2008
- Last updated
- Mar 9, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 332B00000X | Durable Medical Equipment & Medical Supplies | FL1722 | FL | Yes |
Practice location
5351 Lyons RdCoconut Creek, FL 33073-2825
Phone 954-975-0009 · Fax 954-975-0416
Mailing address
5351 Lyons RdCoconut Creek, FL 33073-2825
Phone 954-975-0009 · Fax 954-975-0416
Authorized official
Robert Goldsmith
Optician
9549750009
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