| NPI | 1346564325 |
|---|---|
| Doing Business As | VISION SOURCE CORAL SPRINGS |
| Entity Type | Organization |
| Authorized Contact | KATHERINE ORELLANA-MEDINA Manager/Owner 954-753-0137 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 3853) |
| Enumeration Date | 2010-03-20 |
| Last Update Date | 2013-10-30 |