| NPI | 1790747822 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN PARKER President 321-956-4000 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 1452) |
| Enumeration Date | 2006-04-04 |
| Last Update Date | 2007-07-24 |