NPI | 1356382725 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN JOSEPH LAQUIS Owner 239-947-4042 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME82974) |
Enumeration Date | 2006-06-09 |
Last Update Date | 2016-01-26 |