| NPI | 1447650312 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KARL MARVEL President, License O PT Ican 813-677-0229 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL DO3877) |
| Enumeration Date | 2014-08-28 |
| Last Update Date | 2014-08-28 |