| NPI | 1366656951 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | VIRGINIA H CLARK President 941-792-3134 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OT642) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2014-04-14 |