| NPI | 1386244622 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLAUDE GAGNON President 813-600-7788 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-10-27 |
| Last Update Date | 2020-10-27 |