| NPI | 1811237845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ELIER GONZALEZ Owner 239-288-7450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL DO5670) |
| Enumeration Date | 2013-02-28 |
| Last Update Date | 2013-02-28 |