NPI | 1912601345 |
---|---|
Entity Type | Organization |
Authorized Contact | DANIEL GARZA Managed Care Manager 561-275-2020 |
Organization Subpart ? | No |
Primary Taxonomy | 332H00000X Eyewear Supplier (Equipment, not the service) |
Enumeration Date | 2023-03-29 |
Last Update Date | 2023-03-29 |