| NPI | 1336404581 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MATTHEW VINCENT PARSONS Administrator 352-895-8705 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2012-07-12 |
| Last Update Date | 2012-07-12 |