| NPI | 1508054255 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALICE GROSSMAN Office Cordinator 305-936-2565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0027694) |
| Enumeration Date | 2007-10-09 |
| Last Update Date | 2009-01-29 |