| NPI | 1649218645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GEORGE A FOURNIER President 954-492-1177 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME51944) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: FL OPC1584) |
| Enumeration Date | 2006-06-02 |
| Last Update Date | 2009-12-08 |