| NPI | 1952335945 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | PATRICK FLAHARTY Owner 239-415-7576 | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME63087) | 
| Additional Taxonomies | 208200000X Plastic Surgery (Licence: FL ME63087) | 
| Enumeration Date | 2006-07-10 | 
| Last Update Date | 2008-07-16 |