| NPI | 1720264393 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL S WERNER Owner 727-328-1111 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL PO2826) |
| Enumeration Date | 2008-01-14 |
| Last Update Date | 2008-01-16 |