| NPI | 1376586057 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES ROBERT FLETCHER Authorized Official 352-867-0202 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312143) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32-6748) |
| Enumeration Date | 2006-06-13 |
| Last Update Date | 2017-10-23 |