| NPI | 1891024428 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID E HALL Medical Director 727-343-3004 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
| Enumeration Date | 2009-12-10 |
| Last Update Date | 2009-12-10 |