| NPI | 1124188685 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROCHELLE ANN ROMINES Office Manager 941-748-3065 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME41570) |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2010-04-28 |