| NPI | 1649586892 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK T WINTER President/Optometrist 850-477-0194 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC2316) |
| Enumeration Date | 2010-08-26 |
| Last Update Date | 2010-08-26 |