| NPI | 1255722401 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAVEL V GAZDOVICH Optometrist/ Owner 305-424-8451 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4933) |
| Enumeration Date | 2015-02-10 |
| Last Update Date | 2022-12-06 |