| NPI | 1578726238 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINFRIED H HANSEN President 850-476-8467 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 261QM2500X Clinic/Center, Medical Specialty (Licence: FL ME24683) |
| Enumeration Date | 2008-07-02 |
| Last Update Date | 2011-12-21 |