| NPI | 1922145184 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PETER J PERLEY Cro 407-830-6412 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Additional Taxonomies | 251S00000X (Licence: FL GH203) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2016-11-01 |