| NPI | 1255451621 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LESLEY J. GRAVES-BOYNTON President 407-761-5869 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL ORF175) |
| Enumeration Date | 2007-03-30 |
| Last Update Date | 2020-08-22 |