| NPI | 1023063310 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SALENA ANN FANTETTI Manager 863-382-2606 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 32:00141) |
| Enumeration Date | 2006-05-24 |
| Last Update Date | 2010-06-11 |