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 |