| NPI | 1003892704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TONI M DE LANOY President 850-939-1191 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312003) |
| Enumeration Date | 2005-12-15 |
| Last Update Date | 2010-02-24 |