| NPI | 1083743694 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GARY JARBOE Owner 352-375-6727 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 11-8013402238-3) |
| Enumeration Date | 2007-03-02 |
| Last Update Date | 2020-08-22 |