| NPI | 1104890300 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LAIKHA AZIZ Owner/President 386-947-8525 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 9143) |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2020-08-22 |