| NPI | 1780398503 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES RONALD ANTHONY Surgeon 727-820-3223 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology Ophthalmic Plastic and Reconstructive Surgery |
| Additional Taxonomies | 261QS0132X Clinic/Center Ophthalmologic Surgery |
| Enumeration Date | 2023-01-06 |
| Last Update Date | 2024-11-06 |