| NPI | 1780731190 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GAIL ANN BIZUB Manager 941-923-7556 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 14) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-09-20 |