NPI | 1407347727 |
---|---|
Entity Type | Organization |
Authorized Contact | DE WITT WILKERSON Owner 727-282-1980 |
Organization Subpart ? | No |
Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
Enumeration Date | 2018-05-22 |
Last Update Date | 2018-05-22 |