| NPI | 1710278858 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANGEL LAUDADIO President 321-287-5487 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization (Licence: FL SW7371) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2011-04-25 |