NPI | 1386875896 |
---|---|
Doing Business As | MARIO CARCAMO O.D. |
Entity Type | Organization |
Authorized Contact | MARIO IVAN CARCAMO Manager Owner 305-662-2990 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist |
Enumeration Date | 2009-07-31 |
Last Update Date | 2013-09-17 |