| NPI | 1942735089 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYZA M DE SOUZA President 954-482-0030 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156FX1800X Technician/Technologist Optician (Licence: FL 1359) |
| Enumeration Date | 2017-04-26 |
| Last Update Date | 2017-04-26 |