| NPI | 1104907922 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THOMAS INMAN Owner 941-473-1187 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: VA 001878) |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2008-10-02 |