NPI | 1013207737 |
---|---|
Doing Business As | COOSAW EYE CENTER |
Entity Type | Organization |
Authorized Contact | BRETT PATRICK MCNAMARA Owner 813-732-4107 |
Organization Subpart ? | No |
Primary Taxonomy | 261Q00000X Clinic/Center (Licence: SC 1604) |
Enumeration Date | 2011-04-14 |
Last Update Date | 2016-07-13 |