NPI | 1376569574 |
---|---|
Doing Business As | RETINA VITREOUS ASSOCIATES OF FL |
Entity Type | Organization |
Authorized Contact | PAMELA JANE PAUTLER Administrator 813-879-5795 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME40175) |
Additional Taxonomies | 207WX0107X Ophthalmology, Retina Specialist |
Enumeration Date | 2006-07-14 |
Last Update Date | 2024-08-13 |