| NPI | 1841614948 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE TAYLOR Owner 727-823-2188 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME49872) |
| Enumeration Date | 2014-02-10 |
| Last Update Date | 2014-03-20 |