NPI | 1760607147 |
---|---|
Former Legal Business Name | PAUL J BEFANIS, MD PA |
Entity Type | Organization |
Authorized Contact | GARY R HARDEY Owner 321-984-3200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-04-13 |
Last Update Date | 2014-06-30 |