| NPI | 1568642676 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SRINIVAS MUTYALA Medical Director 954-659-9051 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0076746) |
| Enumeration Date | 2007-11-06 |
| Last Update Date | 2024-04-29 |