| NPI | 1366429805 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY PENDRY Owner 407-688-1868 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1123) |
| Enumeration Date | 2005-12-27 |
| Last Update Date | 2020-08-22 |