| NPI | 1598174252 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NANCY SIMMONS Sec/Treasurer 727-586-2995 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 587) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2014-09-09 |