| NPI | 1417159807 | 
|---|---|
| Entity Type | Organization | 
| Authorized Contact | ALBERT H WILKINSON Managing Partner 904-268-5366  | 
| Organization Subpart ? | No | 
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME56965)  | 
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME81538)  | 
| Enumeration Date | 2007-06-05 | 
| Last Update Date | 2007-10-17 |