| NPI | 1992058473 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL LEVITT Owner 813-496-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 152W00000X Optometrist |
| Enumeration Date | 2012-10-20 |
| Last Update Date | 2012-10-20 |