| NPI | 1457325128 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HARRY PAPPAS Administrator 407-834-7776 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 332B00000X Durable Medical Equipment & Medical Supplies | |
| Enumeration Date | 2006-02-17 |
| Last Update Date | 2016-11-18 |