| NPI | 1477899003 |
|---|---|
| Doing Business As | ASDFASDFASDF |
| Entity Type | Organization |
| Authorized Contact | SAM WALTON Prsident 305-334-3433 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 305S00000X Point of Service |
| Enumeration Date | 2013-01-01 |
| Last Update Date | 2013-01-01 |