| NPI | 1528036357 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN JOSEPH MERTZLUFFT President Doctor 813-814-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL 2610) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2009-10-14 |