| NPI | 1275609471 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN SIMMONS Manager 727-823-2773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL 4546) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2020-08-22 |