| NPI | 1861236937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN ZUDANS Medical Director 772-212-1562 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QA1903X Clinic/Center, Ambulatory Surgical |
| Additional Taxonomies | 261QS0132X Clinic/Center, Ophthalmologic Surgery |
| Enumeration Date | 2024-06-24 |
| Last Update Date | 2024-08-14 |