| NPI | 1487642195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSAC MOORE President 850-385-0033 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL 829) |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2007-12-17 |