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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

COUZENS STAM DOMINGO PA

Active Organization

COUZENS STAM DOMINGO PA is a Optometrist organization located in JACKSONVILLE BEACH, Florida. NPI 1003955568 is currently active in the NPPES registry. Verify at CMS.

Optometrist · JACKSONVILLE BEACH, FL

Registration Details

NPI Number
1003955568
Provider Type
Organization
NPI Issued
Feb 5, 2007 (19.555266221848 yrs)
Last Updated
Nov 16, 2007
License
OPC 3453 (FL)

Practice Information

Address
905 BEACH BLVD
SUITE B
JACKSONVILLE BEACH, FL, 322504303
Browse FL providers · Browse ZIP 32250
Phone
9042464831
Fax
9042495876
Primary Specialty
Optometrist
152W00000X

Other Optometrist Organizations in JACKSONVILLE BEACH, FL

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.