| NPI | 1689807372 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | STEPHEN DOUGLAS STOKES Sole Member 239-645-1435 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 111N00000X Chiropractor (Licence: FL CH8648) |
| Enumeration Date | 2009-08-27 |
| Last Update Date | 2020-02-19 |