| NPI | 1477693828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TOM JONES Presidnt For Life 239-261-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1339) |
| Enumeration Date | 2007-02-07 |
| Last Update Date | 2020-08-22 |