| NPI | 1942213798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONALD VIERLING Owner 727-869-5551 |
| Organization Subpart ? | No |
| Primary Taxonomy | 2083P0011X Preventive Medicine, Undersea and Hyperbaric Medicine (Licence: FL ME32295) |
| Enumeration Date | 2006-08-14 |
| Last Update Date | 2010-12-09 |