| NPI | 1568786580 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN GRIGGS CEO 407-206-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies Oxygen Equipment & Supplies (Licence: TX 0083369) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: TX 0083369) |
| 332BP3500X Durable Medical Equipment & Medical Supplies Parenteral & Enteral Nutrition (Licence: TX 0083369) | |
| Enumeration Date | 2010-03-19 |
| Last Update Date | 2021-08-11 |