| NPI | 1114082690 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN L VATH President 941-358-8482 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1910) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| 343900000X Non-emergency Medical Transport (VAN) | |
| Enumeration Date | 2006-12-26 |
| Last Update Date | 2016-02-09 |