| NPI | 1073614244 |
|---|---|
| Doing Business As | EXECUTIVE PALOMINO OPTICAL |
| Entity Type | Organization |
| Authorized Contact | LEONARDO DENIS PALOMINO President 305-856-8154 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2020-08-22 |