| NPI | 1518239946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GWYNN F FISHMAN Insurance Administrator 727-785-6777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1100X Technician/Technologist, Ophthalmic (Licence: FL ME35503) |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-03-07 |