| NPI | 1164083564 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHREE PRASANA Owner 321-267-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2019-06-26 |
| Last Update Date | 2025-02-24 |