| NPI | 1750185153 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHIRLEY ANN KOHL President 772-286-3505 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |