| NPI | 1174968408 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN TAYLOR MANZI Manager 386-589-3971 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-04-30 |
| Last Update Date | 2013-04-30 |