| NPI | 1003055641 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY ALAN POWERS President 941-907-8263 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2009-02-04 |
| Last Update Date | 2009-02-04 |