| NPI | 1790837326 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM E. CARLSON Managing Partner 772-288-2400 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2007-01-16 |
| Last Update Date | 2020-10-26 |