| NPI | 1114072360 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY RIDGLEY Practice Manager 561-845-6500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-05-23 |