| NPI | 1629245816 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID GUBER Licensed O PT Ician/Owner 407-644-2211 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Licence: FL 4511) |
| Enumeration Date | 2008-05-15 |
| Last Update Date | 2008-05-15 |