| NPI | 1427436187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON DELP Practice Administrator 904-527-3577 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0064370) |
| Enumeration Date | 2015-05-14 |
| Last Update Date | 2015-07-06 |