| NPI | 1215183769 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY LYNN KELSO O PT Ometrist/ Owner 561-743-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP3160) |
| Enumeration Date | 2008-08-15 |
| Last Update Date | 2008-08-27 |