| NPI | 1952718728 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL MICHAEL DURANTE President 772-692-2020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 152W00000X Optometrist (Licence: FL OPC001529) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2014-07-14 |