NPI | 1598079998 |
---|---|
Entity Type | Organization |
Authorized Contact | JAMES ELLIOT CLARK President 407-339-9500 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL 69-01-025691-82) |
Enumeration Date | 2010-07-28 |
Last Update Date | 2012-05-18 |