| NPI | 1437528742 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS HUNTER NEWSOM President 813-908-2020 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2015-09-16 |
| Last Update Date | 2021-01-05 |