| NPI | 1891711180 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILLIAN PHILLIPS Operations Manager 407-999-5225 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME78605) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2013-07-08 |