| NPI | 1336157825 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHANNON RICHARD MOULTON Vice President 954-561-5010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312521AHCA) |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2020-08-22 |