| NPI | 1609929348 |
|---|---|
| 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: NV C-0165268) |
| Additional Taxonomies | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: NV C-0165268) |
| 335E00000X Prosthetic/Orthotic Supplier | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2022-07-27 |