| NPI | 1861697096 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON MICHELLE SMITH Office Manager 305-933-8622 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL OS0003845) |
| Enumeration Date | 2007-06-18 |
| Last Update Date | 2020-08-22 |