| NPI | 1467696955 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | EDWARD T. WILKINS President 321-698-5295 |
| Organization Subpart ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: FL ARNP9215859) |
| Enumeration Date | 2009-04-28 |
| Last Update Date | 2009-04-28 |