| NPI | 1720327828 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DALE SEVERSON C.E.O. 561-951-8588 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2013-02-08 |
| Last Update Date | 2013-02-08 |