| NPI | 1033121306 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LOREN J MILLER Owner 727-544-5425 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO1707) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2007-10-30 |