| NPI | 1932438124 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RYAN CARLO VERXAGIO President 305-439-2015 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152WL0500X Optometrist, Low Vision Rehabilitation (Licence: FL OPC3957) |
| Enumeration Date | 2009-12-17 |
| Last Update Date | 2023-02-26 |