| NPI | 1770257875 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SAID AWWAD Authorized Official 239-236-7750 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Additional Taxonomies | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2021-08-03 |
| Last Update Date | 2022-02-21 |