| NPI | 1235381682 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL STIG FERNEMAN Co Owner 850-532-3640 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment |
| Enumeration Date | 2008-10-16 |
| Last Update Date | 2008-10-16 |