| NPI | 1629123609 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEANNIE MARIE WASMER President 321-960-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 246ZS0410X Specialist/Technologist, Other, Surgical Technologist |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-08-22 |