| NPI | 1215189055 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AMARELLA ELIZABETH DALMAZZO Optometrist 305-829-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4089) |
| Enumeration Date | 2008-10-10 |
| Last Update Date | 2009-04-22 |