| NPI | 1013046457 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | IRA GOLDBERG Owner 407-438-8010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312400) |
| Enumeration Date | 2007-03-03 |
| Last Update Date | 2020-08-22 |