NPI | 1629212006 |
---|---|
Entity Type | Organization |
Authorized Contact | DOMINICK A MARINO President /Optometrist 561-799-2461 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 2073) |
Enumeration Date | 2009-04-29 |
Last Update Date | 2010-03-29 |