| NPI | 1508132986 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHIRAG JITENDRA PATEL Managing Member 352-978-4896 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME111106) |
| Enumeration Date | 2012-03-29 |
| Last Update Date | 2024-01-24 |