| NPI | 1730681305 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHATINA CANNON Practice Manager 561-322-3588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2018-02-28 |
| Last Update Date | 2018-02-28 |