| NPI | 1366538175 |
|---|---|
| Other Name | SHANDS LAKE SHORE DURABLE MEDICAL EQUIPMENT |
| Entity Type | Organization |
| Authorized Contact | JODI MANSFIELD Sr. Vice President & COO 352-265-0440 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 333600000X Pharmacy (Licence: FL 4258) |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-11-20 |