| NPI | 1578941902 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAYLOR DEAN VAN AKEN President / CEO 813-751-6434 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: GA 15048787) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2018-01-16 |