| NPI | 1538040035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AVIS LORRAINE BROWN Trustee 407-270-5544 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-09-10 |
| Last Update Date | 2025-09-18 |