| NPI | 1902903172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VICTOR WADY MELGEN Owner/President 407-328-4384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME52934) |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2011-01-13 |