| NPI | 1417006073 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM EDWARD PALMER President 772-468-0008 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL OE480) |
| Additional Taxonomies | 156FX1800X Technician/Technologist, Optician (Licence: FL DO3798) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2018-08-17 |