NPI | 1386788602 |
---|---|
Entity Type | Organization |
Authorized Contact | JOEL WILK President 954-757-2468 |
Organization Subpart ? | No |
Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL FL1906) |
Enumeration Date | 2007-02-19 |
Last Update Date | 2008-07-25 |