NPI | 1457019028 |
---|---|
Doing Business As | EYE ASSOCIATES OF PINELLAS PARK |
Entity Type | Organization |
Authorized Contact | PAULA FAYE PRIVETTE Authorized 727-343-3004 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology |
Additional Taxonomies | 152W00000X Optometrist |
Enumeration Date | 2021-12-01 |
Last Update Date | 2022-12-13 |