| NPI | 1649409319 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISABEL M CARVAJAL President Optometrist 954-873-4130 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC4213) |
| Enumeration Date | 2009-07-02 |
| Last Update Date | 2010-08-05 |