| NPI | 1093221798 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RICKY P LOCKETT Owner 727-896-8686 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OS6109) |
| Enumeration Date | 2017-12-18 |
| Last Update Date | 2018-06-16 |