| NPI | 1225148166 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LISA BANCHIK Owner Of Corporation 561-392-2950 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 0055218) |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2013-05-28 |