| NPI | 1275527095 |
|---|---|
| Doing Business As | EYELID SURGERY |
| Entity Type | Organization |
| Authorized Contact | DEAN WILLIAM LARSON President 239-481-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered |
| Enumeration Date | 2005-09-08 |
| Last Update Date | 2022-07-21 |