NPI | 1871917419 |
---|---|
Entity Type | Organization |
Authorized Contact | SHARON M. GORDON President 561-747-7460 |
Organization Subpart ? | No |
Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC3801) |
Additional Taxonomies | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC3801) |
Enumeration Date | 2014-02-18 |
Last Update Date | 2014-02-18 |