| NPI | 1336145119 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VALERIE GANN COX Owner 352-331-6565 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1717) |
| Enumeration Date | 2005-06-25 |
| Last Update Date | 2020-08-22 |