| NPI | 1124170162 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID A MAURO President Secretary 239-513-0087 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC001677) |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2010-05-11 |