| NPI | 1114234648 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICHARD D PAOLILLO Manager 941-484-7181 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center Ophthalmologic Surgery (Licence: FL ME17292) |
| Enumeration Date | 2010-09-03 |
| Last Update Date | 2012-08-29 |