| NPI | 1225574783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIOSE GONZALEZ Manager 954-430-0430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL opc3651) |
| Enumeration Date | 2017-01-09 |
| Last Update Date | 2017-01-09 |