| NPI | 1336160522 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BERNARD B AGBELUSI Pharmacist 321-206-9426 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PH 21004) |
| Enumeration Date | 2006-07-22 |
| Last Update Date | 2009-06-17 |