| NPI | 1326572504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL M MORRIS Owner 941-923-6363 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL DN10010804) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2017-04-14 |