| NPI | 1891787446 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS C TEATHER Medical Doctor 321-242-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME66195) |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2013-10-21 |