| NPI | 1316447725 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH R. PAYLOR President 321-727-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2018-02-13 |
| Last Update Date | 2021-11-08 |