| NPI | 1083635338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BONNIE MARGARET KELLER President 239-574-6334 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 427) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2020-08-22 |