| NPI | 1669743407 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER LUCKY Business Administrator 561-624-7777 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0069121) |
| Enumeration Date | 2012-01-25 |
| Last Update Date | 2012-01-25 |