| NPI | 1376921122 |
|---|---|
| Other Name | DAYTONA |
| Entity Type | Organization |
| Authorized Contact | MATTHEW TWERS Owner/CEO 386-233-0075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2015-05-13 |
| Last Update Date | 2023-12-06 |