NPI | 1750437786 |
---|---|
Doing Business As | ELMQUIST EYE GROUP |
Entity Type | Organization |
Authorized Contact | ERIC TREVOR ELMQUIST Owner 239-936-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL OS4402) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2020-07-09 |