| NPI | 1487084224 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ROBERT SUTTON Pres 863-648-5353 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 11529) |
| Enumeration Date | 2013-11-14 |
| Last Update Date | 2013-11-14 |