| NPI | 1265623219 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERALD T STASHAK Owner/President 561-832-8886 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0057975) |
| Enumeration Date | 2007-08-06 |
| Last Update Date | 2012-12-05 |