| NPI | 1427238211 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LEILA CARLEEN LAWRENCE Administrator 727-789-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME89731) |
| Enumeration Date | 2007-11-08 |
| Last Update Date | 2012-12-12 |