| NPI | 1609063478 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY LOU SMITH Secretary Treasurer 727-216-6214 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2660) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2014-12-29 |