| NPI | 1306153853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAREN K GROSS President/Optometrist 305-534-3634 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC1800) |
| Enumeration Date | 2010-09-04 |
| Last Update Date | 2010-09-04 |