| NPI | 1801144217 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK H LINDBERG Authorized Official 727-943-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| 367500000X Nurse Anesthetist, Certified Registered | |
| Enumeration Date | 2012-08-16 |
| Last Update Date | 2021-03-09 |