| NPI | 1528386109 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM P STAFFORD President 239-985-9327 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2010-05-06 |
| Last Update Date | 2014-11-18 |