| NPI | 1619025285 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DARREN MCMULLEN CEO 941-907-0790 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2188) |
| Additional Taxonomies | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 32 03416) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2020-08-22 |