| NPI | 1568512853 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | BRAD ASHTON Owner 407-398-5561 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 6980136513745) |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2020-08-22 |