| NPI | 1366766255 |
|---|---|
| Doing Business As | DR. AMANDA WEITZEN |
| Entity Type | Organization |
| Authorized Contact | AMANDA BETH WEITZEN Owner 904-997-2018 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4248) |
| Enumeration Date | 2010-03-21 |
| Last Update Date | 2010-03-21 |