| NPI | 1376783407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL MERCANDETTI Physician 941-584-4039 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty |
| Enumeration Date | 2009-03-03 |
| Last Update Date | 2024-04-05 |