| NPI | 1376114918 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JUSTIN DEAN DEMPSEY Owner / Provider 239-458-5747 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-07-06 |