NPI | 1558536466 |
---|---|
Entity Type | Organization |
Authorized Contact | DEBORAH JEAN FANTIN President / O PT Ician 863-993-9911 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL DO 4027) |
Enumeration Date | 2008-04-23 |
Last Update Date | 2008-04-23 |