| NPI | 1407573116 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | THEODORE P BLACKMAN Owner 407-961-1449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-24 |
| Last Update Date | 2022-10-24 |