MEDICARE: DR. JUSTIN LEE HRABINSKI OD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	152W00000X	Optometrist	OPC6528	FL

General Provider Information

NPI Number	:	1760229413
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JUSTIN LEE HRABINSKI OD

Provider Business Mailing Address
First Line	:	2186 HIGHWAY A1A APT B3
Second Line	:
City	:	INDIAN HARBOUR BEACH
State	:	FL
Zip	:	32937-4927
Country	:	US
Telephone Number	:	908-655-7379
Fax Number	:

Provider Business Practice Location Address
First Line	:	5505 N ATLANTIC AVE
Second Line	:
City	:	COCOA BEACH
State	:	FL
Zip	:	32931-5111
Country	:	US
Telephone Number	:	321-783-2002
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/10/2024
Last Update Date	:	07/10/2024

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