| NPI | 1407008105 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHILLIP J. MACKINDER Partner 407-644-5156 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC003140) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC003232) |
| Enumeration Date | 2008-10-14 |
| Last Update Date | 2013-10-17 |