NPI | 1285684399 |
---|---|
Entity Type | Organization |
Authorized Contact | RALPH PAYLOR President 321-727-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2006-05-11 |
Last Update Date | 2021-11-08 |