| NPI | 1518233477 |
|---|---|
| Other Name | SARASOTA MASTECTOMY PRODUCTS.COM |
| Entity Type | Organization |
| Authorized Contact | NANCY J OLEVSON President 941-600-6387 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1744P3200X Specialist, Prosthetics Case Management (Licence: FL CL1225850) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 400279) |
| Enumeration Date | 2012-03-26 |
| Last Update Date | 2015-11-25 |