| NPI | 1811159783 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J GOLDBERG Owner/Optometrist 772-692-9526 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL fl3709) |
| Enumeration Date | 2008-07-01 |
| Last Update Date | 2008-07-01 |