| NPI | 1659360501 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY B BATES Owner 407-228-4661 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 424) |
| Enumeration Date | 2005-10-13 |
| Last Update Date | 2010-10-18 |