| NPI | 1306987029 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MILDRED HALL Office Manager 863-687-3000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 322919) |
| Enumeration Date | 2007-02-08 |
| Last Update Date | 2010-11-18 |