| NPI | 1821533464 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL A SOHL Owner 772-287-3010 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL DN8393) |
| Enumeration Date | 2017-01-05 |
| Last Update Date | 2017-01-05 |