| NPI | 1699968651 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUAN ANTONIO ROSARIO-COLLAZO Owner 904-731-8300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0026592) |
| Enumeration Date | 2007-08-23 |
| Last Update Date | 2016-10-06 |