| NPI | 1194737841 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN T WILLIS President 863-293-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312560) |
| Enumeration Date | 2006-08-12 |
| Last Update Date | 2008-03-31 |