| NPI | 1316349368 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GLADIMIR SIMEON President 954-245-7911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: FL HS10825) |
| Enumeration Date | 2014-09-22 |
| Last Update Date | 2014-09-22 |