| NPI | 1033272026 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM J GRODSKI Secretary Treasurer 407-857-7121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH11450) |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2007-07-12 |