| NPI | 1013958859 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHRISTINA BRANIGAN Executive Director 772-569-6600 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME19617) |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2009-03-17 |