| NPI | 1255507075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG CZYZ Operating Manager 941-629-1090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS10225) |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2013-03-04 |