| NPI | 1447245444 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SUSAN DWYER Owner 239-262-7772 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1423) |
| Enumeration Date | 2005-09-15 |
| Last Update Date | 2011-04-29 |