| NPI | 1821103201 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | SHAWN A. QUINN President 352-483-0911 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1312506) |
| Enumeration Date | 2006-08-19 |
| Last Update Date | 2019-07-26 |