| NPI | 1376685404 |
|---|---|
| Other Name | ATLANTIC OPTICAL SOUTHSIDE |
| Entity Type | Organization |
| Authorized Contact | NEIL T SHMUNES President 904-241-7865 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-02-13 |
| Last Update Date | 2024-05-20 |