| NPI | 1245216134 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN OYAGHIRE IDEHEN President 407-830-0090 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1278) |
| Enumeration Date | 2005-12-21 |
| Last Update Date | 2020-08-22 |