| NPI | 1609046606 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR JONES VP Of Operations 321-574-8100 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305S00000X Point of Service (Licence: FL ME91814) |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2008-03-05 |