| NPI | 1952604290 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY B. TRAWICK Owner/ Managing Member 863-644-7773 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC-1885) |
| Enumeration Date | 2010-12-08 |
| Last Update Date | 2011-04-27 |