| NPI | 1679606230 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | KITTIE L MORENO Optician 352-347-3937 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL DO2434) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2009-01-27 |