| NPI | 1306138953 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BOB BROWN Owner 407-486-1783 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 332B00000X) |
| Enumeration Date | 2011-05-13 |
| Last Update Date | 2011-05-13 |