NPI | 1396042834 |
---|---|
Entity Type | Organization |
Authorized Contact | PHIIP ROSS SIDRAN Doctor President 305-252-7979 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC804) |
Enumeration Date | 2011-02-18 |
Last Update Date | 2011-02-18 |