| NPI | 1184825853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KIMBERLY DURRANCE Co Owner O PT Ician 352-271-3338 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO4464) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2020-08-22 |