| NPI | 1568427672 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRIAN WILLIS President 863-293-3066 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL HME611) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2008-02-20 |