NPI | 1336387489 |
---|---|
Entity Type | Organization |
Authorized Contact | EDGARDO CRUZ-MARTINEZ Registered Agent 352-748-6253 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME78169) |
Enumeration Date | 2009-01-28 |
Last Update Date | 2012-04-12 |