| NPI | 1245339845 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUANNE JAY Owner 239-948-4340 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: FL 1489) |
| Enumeration Date | 2006-09-21 |
| Last Update Date | 2011-04-29 |