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NPI Profile for GULF COAST RETINA ASSOCIATES LLC in TRINITY, FL.
An ophthalmologist who specializes in the diagnosis and treatment of vitreoretinal diseases.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Retina Specialist |
207WX0107X | 18 | Physician/Ophthalmology |
| NPI # | 1780724112 |
|
| Status | Active | |
| Credentials | ||
| Entity | Individual | |
| Enumeration date | 02/07/2007 | |
| Last updated | 11/02/2018 - About 8 years ago | |
| Sole proprietor 1 | Not specified | |
| Identifiers |
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|
| Hospital affiliation(s) | Not Available |
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GULF COAST RETINA ASSOCIATES, LLC