| NPI | 1407113897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ISSA E. EPHTIMIOS Managing Member 850-912-8433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME101155) |
| Enumeration Date | 2012-04-23 |
| Last Update Date | 2012-04-23 |