| NPI | 1730152752 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN LEIGH JOHNSON Secretary Treasurer Practice Manage 941-918-9522 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME64457) |
| Enumeration Date | 2006-02-09 |
| Last Update Date | 2020-08-22 |