| NPI | 1285791715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT JOSEPH GUIDA Treasurer 239-573-9910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312734) |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2012-02-13 |