| NPI | 1508329855 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JONATHAN LEON ROSEN President 786-309-7579 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2019-04-12 |
| Last Update Date | 2021-06-29 |