| NPI | 1033174289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY EWERS Manager/Owner 352-873-2971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1731) |
| Enumeration Date | 2006-04-19 |
| Last Update Date | 2013-11-01 |