| NPI | 1699081067 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MAHER M FANOUS Owner 352-331-7337 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL OPC 4437) |
| Enumeration Date | 2010-08-24 |
| Last Update Date | 2010-08-24 |