| NPI | 1922009232 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL J MELLMAN President 561-374-9707 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME60362) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ME81294) |
| Enumeration Date | 2005-08-09 |
| Last Update Date | 2011-08-26 |