| NPI | 1710260427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA L MAULE O PT Ometric Physician 561-477-3524 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC 2450) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2012-09-26 |