| NPI | 1437180510 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JILL DEANN ELLIS President 954-426-2314 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DO2468) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2020-08-22 |