| NPI | 1134155591 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DEAN KUSHIM President 941-954-9066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 514) |
| Enumeration Date | 2006-06-25 |
| Last Update Date | 2007-12-06 |