| NPI | 1750385035 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | LYNN C REDAVID President/Customer Service Manager 239-437-4004 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 5282130001) |
| Enumeration Date | 2005-06-02 |
| Last Update Date | 2020-08-22 |