| NPI | 1255509196 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES F PRUCHNIEWSKI Owner 863-859-4434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL po1910) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2008-02-13 |