| NPI | 1376553925 |
|---|---|
| Doing Business As | EYE SURGERY & LASER CENTER, P.A. |
| Entity Type | Organization |
| Authorized Contact | FARRELL C TYSON Owner 239-542-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL 808) |
| Enumeration Date | 2006-08-08 |
| Last Update Date | 2012-06-06 |