| NPI | 1588557458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PHAEDRA L SHUDRA Credentialing And Contracting Speci 813-785-4861 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0110X Ophthalmology, Pediatric Ophthalmology and Strabismus Specialist |
| Enumeration Date | 2025-05-30 |
| Last Update Date | 2025-05-30 |