| NPI | 1306377759 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CALVIN COOK President 352-433-5556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1314009) |
| Enumeration Date | 2017-03-27 |
| Last Update Date | 2017-07-25 |