| NPI | 1407904121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WAYNE PAQUETTE Pres. Owner 352-560-0258 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 2394) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2007-07-13 |