| NPI | 1558456681 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RAFAEL TRESPALACIOS Owner 321-984-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2025-08-27 |