| NPI | 1881873354 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUWANNA LAKESHIA ZIER Owner 813-965-6406 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X (Licence: FL 692792198) |
| Additional Taxonomies | 251C00000X (Licence: FL 692792196) |
| Enumeration Date | 2007-10-31 |
| Last Update Date | 2007-10-31 |