| NPI | 1205180304 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL G ACOSTA President 239-334-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE 2008) |
| Enumeration Date | 2012-10-29 |
| Last Update Date | 2022-02-24 |