| NPI | 1386892925 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VINCENT PASSARO Optometrist 727-534-3726 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 3549) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL 3498) |
| Enumeration Date | 2008-09-08 |
| Last Update Date | 2008-11-03 |