| NPI | 1780854281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER BRADY COOK President/ Optometrist 813-425-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3566) |
| Enumeration Date | 2008-03-11 |
| Last Update Date | 2008-06-25 |