| NPI | 1508501610 |
|---|---|
| Doing Business As | LAKE EYE ACCOSIATES |
| Entity Type | Organization |
| Authorized Contact | SCOT CORBIN HOLMAN Owner 352-343-4798 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-05-03 |
| Last Update Date | 2022-05-03 |