| NPI | 1700201100 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E CARLSON Managing Partner 772-288-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-02-22 |
| Last Update Date | 2019-01-15 |