NPI | 1427098730 |
---|---|
Entity Type | Organization |
Authorized Contact | LISA RENEE NICHOLS Practice Manager 941-794-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0045451) |
Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3917) |
Enumeration Date | 2006-06-07 |
Last Update Date | 2008-04-10 |