| NPI | 1053331801 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN B RICHARDSON Administrator 813-877-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2006-07-21 |
| Last Update Date | 2020-08-22 |