| NPI | 1104215433 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BURTON C ROSS President 941-624-0127 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313208) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2015-01-09 |