| NPI | 1447491709 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFF E. OLSTROM Executive Director 813-251-2407 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OP0001955) |
| Enumeration Date | 2009-03-17 |
| Last Update Date | 2009-03-17 |