| NPI | 1063453082 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHARON DAVIS Credentialing/Billing Supervisor 727-943-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2008-05-08 |