| NPI | 1013230333 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHELBY WILLIAM GHOLSON President 954-358-1450 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313630) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2010-03-02 |