| NPI | 1528332954 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE ABRAHAM Member/President 352-615-2076 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 4414) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC 4407) |
| Enumeration Date | 2012-03-02 |
| Last Update Date | 2012-08-24 |