NPI | 1144425596 |
---|---|
Entity Type | Organization |
Authorized Contact | WENDI A HERZMAN CEO 727-861-7074 |
Organization Subpart ? | No |
Primary Taxonomy | 251S00000X (Licence: FL MH 8927) |
Additional Taxonomies | 251S00000X (Licence: FL MH 5968) |
Enumeration Date | 2007-06-17 |
Last Update Date | 2007-12-29 |