| NPI | 1770742777 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WADE THOMAS DURHAM CEO/President 352-568-0442 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist, Optician (Licence: FL do1085) |
| Enumeration Date | 2008-06-04 |
| Last Update Date | 2008-06-04 |