| NPI | 1376846733 |
|---|---|
| Other Name | FLORIDA PEDIATRIC ASSOC OPTICAL MAITLAND |
| Entity Type | Organization |
| Authorized Contact | SHEILA A TATHAM Credentialing Manager 727-456-4250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 208000000X Pediatrics |
| Enumeration Date | 2010-12-07 |
| Last Update Date | 2010-12-07 |