| NPI | 1548714504 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | HALLE R BALDOR Managing Owner 407-731-7723 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2016-08-08 |
| Last Update Date | 2016-08-08 |