| NPI | 1811544885 |
|---|---|
| Former Legal Business Name | JENNIFER KANE OD LLC |
| Entity Type | Organization |
| Authorized Contact | JENNIFER SCURLOCK Od 727-776-0136 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261Q00000X Clinic/Center |
| Enumeration Date | 2019-08-23 |
| Last Update Date | 2019-08-23 |