| NPI | 1760696272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEFFREY WILLIAM FISHER O PT Ometrist Pres 813-968-2740 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC-3793) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2020-08-22 |