| NPI | 1881261089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUNIL GUPTA Managing Partner 850-476-6759 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2021-06-07 |
| Last Update Date | 2021-06-07 |