| NPI | 1134982572 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK EDWARD FARMER President 239-482-2663 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-01-30 |
| Last Update Date | 2024-01-30 |