| NPI | 1134351802 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DORIS BLAKEMORE Office Manager 407-841-1490 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 0069320) |
| Enumeration Date | 2009-08-14 |
| Last Update Date | 2010-11-04 |