| 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 |