| NPI | 1316363245 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK CERECEDA Principal 305-450-0128 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME670040) |
| 174400000X Specialist (Licence: FL ME31217) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2014-03-17 |