NPI | 1487844536 |
---|---|
Doing Business As | SOUTH TAMPA EYE SITE |
Entity Type | Organization |
Authorized Contact | KEVIN L SMITH Optometrist 813-312-1174 |
Organization Subpart ? | No |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC3456) |
Additional Taxonomies | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL opc 3456) |
Enumeration Date | 2007-07-25 |
Last Update Date | 2008-11-04 |