| NPI | 1124020375 |
|---|---|
| Doing Business As | UPDEGRAFF VISION LASER AND SURGERY CENTER |
| Entity Type | Organization |
| Authorized Contact | STEPHEN UPDEGRAFF Medical Director 727-822-4287 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 1171) |
| Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL ME67224) |
| Enumeration Date | 2005-06-01 |
| Last Update Date | 2008-07-03 |