| NPI | 1295072569 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SCOTT GUIMOND General Manager 407-542-8741 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1313886) |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1313886) |
| Enumeration Date | 2013-01-07 |
| Last Update Date | 2014-02-10 |