NPI | 1164775664 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN GRIGGS CEO 407-206-0040 |
Organization Subpart ? | Yes |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BP3500X Durable Medical Equipment & Medical Supplies, Parenteral & Enteral Nutrition |
Enumeration Date | 2012-10-22 |
Last Update Date | 2021-10-13 |