| NPI | 1366720187 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES MEDLOCK President 561-439-4620 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 10346) |
| Enumeration Date | 2011-07-27 |
| Last Update Date | 2011-07-27 |