| NPI | 1710021126 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FRANK RUGGIERI Manager 407-629-4111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL CPED34) |
| Enumeration Date | 2007-02-18 |
| Last Update Date | 2020-08-22 |