| NPI | 1003837337 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FREDERICK L DEWBERRY Owner/President 727-441-3724 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0034568) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2012-03-14 |