| NPI | 1124044623 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROY G EDGERTON CEO 813-915-8367 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312589) |
| Enumeration Date | 2006-07-15 |
| Last Update Date | 2020-08-22 |