| NPI | 1881349645 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SARAH AVILA Md 561-901-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207WX0200X Ophthalmology, Ophthalmic Plastic and Reconstructive Surgery |
| Enumeration Date | 2022-02-19 |
| Last Update Date | 2024-04-15 |