| NPI | 1710256110 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID MICHAEL KLEIN Owner/President 941-764-0035 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME0034395) |
| Enumeration Date | 2011-12-14 |
| Last Update Date | 2011-12-14 |