| NPI | 1427340124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HUNTER NEWSOM President 813-908-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME79937) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC3003) |
| Enumeration Date | 2011-05-12 |
| Last Update Date | 2021-01-05 |