| NPI | 1275580383 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HENRY STANLEY ZMYJ Owner 352-637-6088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312862) |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2008-06-30 |