| NPI | 1689152696 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NOVACK Managing Member 407-367-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2018-08-01 |
| Last Update Date | 2018-08-01 |