| NPI | 1992812259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JO A MEYER Owner 863-471-1700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology (Licence: FL ME73406) |
| Additional Taxonomies | 207W00000X Ophthalmology (Licence: LA MD021987) |
| Enumeration Date | 2006-08-24 |
| Last Update Date | 2007-11-13 |