| NPI | 1497977599 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDREA (NONE) PINE-GRIMALDI Managing Member (Co Owner) 561-512-6057 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL OT11509) |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2020-08-22 |