| NPI | 1821627704 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOSEPH FLEMING Member Manager 239-248-2026 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-10-28 |