| NPI | 1710014865 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GHASSAN MNASSA President 863-816-1513 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1160) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2011-10-06 |