| NPI | 1942363395 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MASOOD HASHMI Owner 321-984-7997 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL ME0072245) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL ARNP 9203833) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2008-05-22 |