| NPI | 1457432338 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMARA A. LILLARD Owner/Manager 850-784-0070 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 225000000X Orthotic Fitter |
| 227900000X Respiratory Therapist, Registered | |
| 224900000X Mastectomy Fitter | |
| 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies | |
| Enumeration Date | 2006-10-18 |
| Last Update Date | 2014-01-13 |