| NPI | 1275042483 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLIFFORD TODD MONAGHAN Chief Executive Officer 772-618-1183 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-09-20 |
| Last Update Date | 2022-07-21 |