| NPI | 1811174469 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | AARON WILHITE Principal Officer 321-733-2612 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2008-01-25 |
| Last Update Date | 2008-01-25 |