| NPI | 1174623946 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KELLY REED BOYKIN President 941-625-6774 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312435) |
| Enumeration Date | 2006-09-22 |
| Last Update Date | 2020-08-22 |