| NPI | 1801853528 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JAMES M. LADD Owner 321-626-4636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312879) |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2008-01-14 |