| NPI | 1508063884 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL L HAYNES Owner 386-734-4431 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL PH16472) |
| Enumeration Date | 2007-06-29 |
| Last Update Date | 2007-11-08 |