| NPI | 1053395897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY O BATES CEO 407-896-8902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 423) |
| Enumeration Date | 2005-12-05 |
| Last Update Date | 2020-08-22 |