| NPI | 1720234677 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOHN TOBIAS GRAY President/Managing Member 954-292-8657 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2012-09-21 |