| NPI | 1457739237 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DOUGLAS EDWARD SHERRON President 954-921-9099 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: PR 15747-F) |
| Enumeration Date | 2015-05-12 |
| Last Update Date | 2017-12-01 |