| NPI | 1689807232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATINA M CANNON Office Manager 561-322-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME 81086) |
| Enumeration Date | 2009-08-31 |
| Last Update Date | 2024-03-27 |