| NPI | 1811167893 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MARY SULLIVAN Office Manager 941-629-1153 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO 1660) |
| Enumeration Date | 2008-03-06 |
| Last Update Date | 2008-05-07 |