| NPI | 1083385751 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNETTE TEASLEY Owner 407-201-1518 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-09-23 |
| Last Update Date | 2021-09-23 |