| NPI | 1033285598 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PAUL JAMES GUNNELS Owner 321-331-8568 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL L05000086822) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2008-08-08 |