| NPI | 1760541213 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SID DUANE RUSSELL VP 352-331-8088 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312941) |
| Enumeration Date | 2006-12-08 |
| Last Update Date | 2019-02-27 |