| NPI | 1487885257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DIANA SIMEON Owner 813-655-9710 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC0002917) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC0002680) |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2010-08-18 |