| NPI | 1588843981 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS TAPPAN President 850-474-1925 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME42814) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME00042814) |
| Enumeration Date | 2007-11-01 |
| Last Update Date | 2012-11-08 |