| NPI | 1649475278 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALLISON VIRGINIA MENEZES Managing Member 941-921-6161 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME65322) |
| Enumeration Date | 2007-06-14 |
| Last Update Date | 2008-03-17 |