| NPI | 1841360096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PATRICIA JEAN VEDRAL Manager 941-480-0300 |
| Organization Subpart ? | No |
| Primary Taxonomy | 156F00000X Technician/Technologist (Licence: FL DO 4976) |
| Enumeration Date | 2006-11-08 |
| Last Update Date | 2012-02-02 |