| NPI | 1447309141 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARK RANDAL HAGMAN President 863-698-3111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 3204482) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2008-03-05 |