NPI | 1366866063 |
---|---|
Entity Type | Organization |
Authorized Contact | DIANA PATRICIA CAMARGO President 954-491-5628 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4304) |
Enumeration Date | 2014-02-16 |
Last Update Date | 2014-02-16 |