| NPI | 1669792453 |
|---|---|
| Former Legal Business Name | BARRY AND SUSAN PHILLIPS, PA |
| Entity Type | Organization |
| Authorized Contact | SUSAN BREKRUS PHILLIPS Vice President 352-291-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist |
| Enumeration Date | 2010-06-03 |
| Last Update Date | 2010-06-03 |