| NPI | 1912310780 |
|---|---|
| Doing Business As | EYE SURGERY & LASER CENTER |
| Entity Type | Organization |
| Authorized Contact | FARRELL TYSON Medical Director/ Owner 239-542-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QS0132X Clinic/Center, Ophthalmologic Surgery (Licence: FL ME81910) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2014-06-09 |