| NPI | 1134842610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOMINICK GOLIO Manager 305-534-0121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 207T00000X Neurological Surgery | |
| 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery | |
| 2086S0122X Surgery Plastic and Reconstructive Surgery | |
| 2086X0206X Surgery Surgical Oncology | |
| Enumeration Date | 2022-09-20 |
| Last Update Date | 2022-09-20 |