| NPI | 1831608496 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHALESH KAUSHAL Owner 352-562-6058 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0107X Ophthalmology Retina Specialist (Licence: FL ME86573) |
| Enumeration Date | 2017-09-27 |
| Last Update Date | 2017-10-13 |