| NPI | 1215157755 |
|---|---|
| Doing Business As | JERRY SIEGEL OD |
| Entity Type | Organization |
| Authorized Contact | JERRY SIEGEL Optometrist Sole Provider 561-703-3230 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC695) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2020-08-22 |