| NPI | 1114113685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAVITA MULANEY Office Manager 863-686-1010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: FL ME0055340) |
| Enumeration Date | 2007-09-19 |
| Last Update Date | 2020-05-04 |