| NPI | 1508002544 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEREK LEE EISNOR Owner/President 321-254-6218 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207PE0004X Emergency Medicine, Emergency Medical Services (Licence: FL ME74231) |
| Enumeration Date | 2008-12-22 |
| Last Update Date | 2008-12-22 |