| NPI | 1598119919 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS F LIEB President 407-739-2598 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME82424) |
| Additional Taxonomies | 208600000X Surgery (Licence: FL ME82424) |
| 261Q00000X Clinic/Center (Licence: FL ME82424) | |
| Enumeration Date | 2016-04-21 |
| Last Update Date | 2022-03-31 |