| NPI | 1629519897 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREG PERKINS Manager 407-376-4324 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL p625292654250) |
| Enumeration Date | 2017-03-20 |
| Last Update Date | 2017-03-20 |