| NPI | 1629256417 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON SHEVLIN President 772-335-1200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 261Q00000X Clinic/Center |
| Enumeration Date | 2008-02-05 |
| Last Update Date | 2010-03-18 |