| NPI | 1396358776 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LARRY MICHAEL PERICH Manager 727-372-1311 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2021-02-16 |