NPI | 1376110585 |
---|---|
Doing Business As | RETINA SPECIALTY INSTITUTE |
Entity Type | Organization |
Authorized Contact | SUNIL GUPTA Managing Partner 850-476-6759 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
Enumeration Date | 2021-06-07 |
Last Update Date | 2021-06-07 |