| NPI | 1578937140 |
|---|---|
| Doing Business As | FLORIDA MEDICAL CLINIC EYE CENTER TPA |
| Entity Type | Organization |
| Authorized Contact | JOE DELATORRE CEO 813-780-8774 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: FL DO5641) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2020-03-19 |