NPI | 1942609094 |
---|---|
Entity Type | Organization |
Authorized Contact | GARY R HARDEY CEO 321-984-3200 |
Organization Subpart ? | Yes |
Primary Taxonomy | 152WC0802X Optometrist, Corneal and Contact Management (Licence: FL OPC1134) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2014-08-14 |