| NPI | 1336655562 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ANDRE CHRISTOPHER MITCHELL Owner 407-497-6909 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2017-12-26 |
| Last Update Date | 2017-12-26 |