| NPI | 1386177806 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHREE A PRASANNA Owner 321-267-3304 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN16818) |
| Enumeration Date | 2017-04-11 |
| Last Update Date | 2017-04-11 |