| NPI | 1841415817 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MIGUEL ENRIQUE DE LA TORRE Optometrist 305-804-0476 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL opc3580) |
| Enumeration Date | 2007-04-16 |
| Last Update Date | 2009-09-10 |