| NPI | 1477092187 |
|---|---|
| Other Name | PENNACHIO EYE |
| Entity Type | Organization |
| Authorized Contact | MICHAEL PENNACHIO Owner 352-227-1999 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME45426) |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-03-03 |