| NPI | 1962572610 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID JAMES ALEXANDER President 813-977-6700 |
| Organization Subpart ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: FL MA23156) |
| Additional Taxonomies | 174400000X Specialist (Licence: FL MM16009) |
| Enumeration Date | 2006-11-09 |
| Last Update Date | 2008-11-19 |