| NPI | 1780722116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHARLES BARRY CRAYTHORNE President 813-254-9586 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0066239) |
| Enumeration Date | 2007-02-01 |
| Last Update Date | 2022-10-17 |