| NPI | 1215944186 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALEB A DAVIS President CEO 305-351-1314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology |
| 213E00000X Podiatrist | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2020-08-22 |