| NPI | 1851482830 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK THOMASON FEASTER President 727-822-4729 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME79534) |
| Enumeration Date | 2006-09-27 |
| Last Update Date | 2020-08-22 |