| NPI | 1376720417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYLE CLARK WARNER Vice President General Manager 941-925-2273 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies |
| Enumeration Date | 2008-01-30 |
| Last Update Date | 2008-06-04 |