| NPI | 1790958841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GIDDEL A ROUVIER Lic. O PT Ician 786-356-3461 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) (Licence: FL OE1662) |
| Enumeration Date | 2008-04-09 |
| Last Update Date | 2008-04-09 |