| NPI | 1992823355 |
|---|---|
| Doing Business As | RETINA VITREOUS ASSOCIATES OF FL |
| Entity Type | Organization |
| Authorized Contact | PAMELA JANE PAUTLER Administrator 813-879-5795 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207W00000X Ophthalmology |
| Additional Taxonomies | 207WX0107X Ophthalmology Retina Specialist |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2020-07-21 |