| NPI | 1689095192 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW SHERROD WILSON Co Owner 813-494-0643 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251B00000X Case Management (Licence: FL AL11733) |
| Enumeration Date | 2013-12-31 |
| Last Update Date | 2013-12-31 |