| NPI | 1447316146 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUE RENFROE Owner 813-837-0077 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL DO5003) |
| Enumeration Date | 2006-12-28 |
| Last Update Date | 2020-08-22 |