| NPI | 1376526715 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GERTRUDE L. GIBERT President 772-564-9596 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32:00680) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 8191) |
| Enumeration Date | 2005-11-21 |
| Last Update Date | 2020-08-22 |