| NPI | 1740298926 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT CHARLES URBAN Owner/Doctor 727-807-7090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME63362) |
| Additional Taxonomies | 207W00000X Ophthalmology |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-08-04 |