| NPI | 1871807420 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT MARC MANDELKORN President 239-939-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME80929) |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2010-08-05 |