| NPI | 1235373937 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CASSIE JANE BOEMI Vice President 239-594-9100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 0075944) |
| Enumeration Date | 2009-04-24 |
| Last Update Date | 2009-04-24 |