| NPI | 1205838158 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTIN BOHATKA Owner / President 850-934-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1079) |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2010-05-05 |