| NPI | 1376646570 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARLOS ALLAN MACHADO Optician 305-591-0027 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL DO5411) |
| Enumeration Date | 2006-09-06 |
| Last Update Date | 2007-07-19 |