| NPI | 1154798809 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JEREMY BRANT WALDRIP Owner 941-718-3381 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-08-28 |
| Last Update Date | 2015-08-28 |