| NPI | 1720340003 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM MARTIN BOHATKA President 850-934-5217 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1079) |
| Enumeration Date | 2012-06-12 |
| Last Update Date | 2013-05-22 |