NPI | 1710128459 |
---|---|
Entity Type | Organization |
Authorized Contact | TULLY COLCORD PATROWICZ Sole Proprietor Ophthalmologist 352-357-3851 |
Organization Subpart ? | No |
Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL ME14662) |
Enumeration Date | 2009-03-10 |
Last Update Date | 2013-03-18 |