| NPI | 1548333230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LUIS HERNAN MAYORGA O PT Ician 305-824-1448 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL DO2805) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2020-08-22 |