NPI | 1871775551 |
---|---|
Entity Type | Organization |
Authorized Contact | KEYE L WONG President 941-374-4491 |
Organization Subpart ? | No |
Primary Taxonomy | 207WX0107X Ophthalmology, Retina Specialist |
Additional Taxonomies | 207W00000X Ophthalmology (Licence: FL ME56535) |
207W00000X Ophthalmology | |
Enumeration Date | 2007-12-04 |
Last Update Date | 2021-07-14 |