| NPI | 1760422257 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER MARTINEZ Admin. Assistant 813-496-1075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 18592.0000) |
| Enumeration Date | 2006-06-07 |
| Last Update Date | 2014-07-15 |