| NPI | 1316901259 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JON R DODDS President 727-791-7404 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL HME 1411) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32-04508) |
| Enumeration Date | 2006-04-17 |
| Last Update Date | 2020-08-22 |