| NPI | 1629794391 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ERIKA KING Revenue Director 863-348-1384 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2022-10-14 |
| Last Update Date | 2022-10-14 |