NPI | 1326193053 |
---|---|
Entity Type | Organization |
Authorized Contact | ANGEL LEONARD Owner 941-708-0875 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2007-01-24 |
Last Update Date | 2020-08-22 |