| NPI | 1831146992 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL ALLEN GARVIN Owner/Physician 772-335-7171 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2006-05-27 |
| Last Update Date | 2023-04-14 |