NPI | 1790901700 |
---|---|
Former Legal Business Name | PAUL J BEFANIS, MD PA |
Entity Type | Organization |
Authorized Contact | RAFAEL TRESPALACIOS Medical Director/ Owner 321-984-3200 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2007-04-18 |
Last Update Date | 2016-12-08 |