| NPI | 1215683206 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELLE FLESHNER Practice Administrator 813-684-2211 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2022-02-28 |
| Last Update Date | 2022-02-28 |