| NPI | 1043561350 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNA MCDERMED Owner 407-277-5729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WV0400X Optometrist Vision Therapy (Licence: FL OPC4185) |
| Enumeration Date | 2012-09-26 |
| Last Update Date | 2012-09-26 |