| NPI | 1740379445 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH LENARD President 863-648-9911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1314324) |
| Enumeration Date | 2006-10-12 |
| Last Update Date | 2023-05-13 |