| NPI | 1679929475 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK KIGER Practice Administrator 941-777-5000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME125837) |
| Enumeration Date | 2016-05-11 |
| Last Update Date | 2016-10-03 |