| NPI | 1548572571 |
|---|---|
| Former Legal Business Name | NONE |
| Entity Type | Organization |
| Authorized Contact | LATCHMAN HARDOWAR Owner 407-343-0567 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3905) |
| Enumeration Date | 2010-07-07 |
| Last Update Date | 2010-10-15 |