| NPI | 1366248643 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL V SOWARDS Managing Member 321-604-8190 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-02-19 |
| Last Update Date | 2025-02-19 |