| NPI | 1801559281 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RENZO A ZALDIVAR COO 954-816-8475 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2021-10-21 |
| Last Update Date | 2024-04-26 |