NPI | 1811182546 |
---|---|
Entity Type | Organization |
Authorized Contact | JOHN M KESSINGER President 850-785-9559 |
Organization Subpart ? | No |
Primary Taxonomy | 174400000X Specialist (Licence: FL ME0049047) |
Additional Taxonomies | 174400000X Specialist (Licence: FL ME66264) |
174400000X Specialist (Licence: FL ME66118) | |
Enumeration Date | 2007-09-06 |
Last Update Date | 2007-09-06 |