| NPI | 1528301009 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAVID G PAYNE Principal 727-916-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2013-04-03 |
| Last Update Date | 2015-01-23 |