| NPI | 1073892782 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DANIEL ASHLEY GRAHAM CEO 863-382-2606 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313719) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32-6855) |
| Enumeration Date | 2011-08-11 |
| Last Update Date | 2012-10-29 |