| NPI | 1164419172 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN P ATKINSON Pres 239-262-2797 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL POR 27) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2007-11-01 |