| NPI | 1699936492 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANTHONY L CAPASSO CEO Of Corporation 904-249-9995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME 69518) |
| Enumeration Date | 2008-06-24 |
| Last Update Date | 2014-11-19 |