| NPI | 1619146990 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEVEN BOVIO Owner 941-921-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2979) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-02-21 |
| Last Update Date | 2008-02-21 |