| NPI | 1720215106 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WINSTON O HERNANDEZ Owner 954-436-0555 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 174400000X Specialist |
| Enumeration Date | 2009-06-12 |
| Last Update Date | 2013-10-02 |