NPI | 1437383171 |
---|---|
Entity Type | Organization |
Authorized Contact | MARSHALL MATTHEW DESANTIS, Employer 727-869-7497 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME53627) |
Enumeration Date | 2009-05-10 |
Last Update Date | 2009-05-10 |