| NPI | 1154508695 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CARL L. ENGLISH Mgmr 561-368-7430 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313416) |
| Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
| 335E00000X Prosthetic/Orthotic Supplier (Licence: FL ORF 113) | |
| Enumeration Date | 2008-01-28 |
| Last Update Date | 2009-06-30 |