| NPI | 1922295641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES M GREMILLION President/Owner 941-460-9159 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL 57634) |
| Enumeration Date | 2007-09-26 |
| Last Update Date | 2008-07-30 |