| NPI | 1598160988 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CONRAD ESTREM BURNS President 941-766-0902 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL JE80536) |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2014-10-28 |