| NPI | 1568459410 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GRACIA FOX Owner 352-212-2449 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1980124682735) |
| Enumeration Date | 2005-10-04 |
| Last Update Date | 2020-08-22 |