| NPI | 1346417458 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KAREN KELLY Owner 863-382-1006 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 326686) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2012-08-28 |