| NPI | 1639624588 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NAWAL SAJIH ABOULHOSN Chief Executive Officer 321-525-1556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X (Licence: FL MT 2810) |
| Additional Taxonomies | 251S00000X (Licence: FL MH 7623) |
| 251S00000X (Licence: FL CAP 5229) | |
| Enumeration Date | 2016-08-22 |
| Last Update Date | 2016-08-22 |