| NPI | 1003840083 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY SCOTT SIMS General Manager 352-373-9673 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL 1543) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL 047295) |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2020-08-22 |