| NPI | 1336611870 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KEVIN MCGOEY Member Manager 772-398-7010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2019-09-12 |