| NPI | 1699853044 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BSHARA BARAKAT President 904-389-2707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME68949) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME75096) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2012-01-12 |