| NPI | 1548667272 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NIC A ALLEGRETTO Owner 850-863-8530 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-11-24 |
| Last Update Date | 2014-11-24 |