NPI | 1558616011 |
---|---|
Doing Business As | SEGWAY AND BIKE SHOP |
Entity Type | Organization |
Authorized Contact | DALE ROBERT MCGOWEN President 863-512-0256 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 59-8015384831-3) |
Enumeration Date | 2012-07-19 |
Last Update Date | 2012-07-19 |