| NPI | 1376957571 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD WILLIAM KOSS Managing Member 904-321-1333 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC4033) |
| Enumeration Date | 2014-06-16 |
| Last Update Date | 2014-09-12 |