| NPI | 1134301393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CAROL A CARD Treasurer 407-644-1814 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1075) |
| Enumeration Date | 2007-11-29 |
| Last Update Date | 2008-01-18 |