| NPI | 1770725756 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CHAD BRYANT DESEAR Owner 239-261-7744 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1339) |
| Enumeration Date | 2009-04-06 |
| Last Update Date | 2009-04-06 |