| NPI | 1841387289 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JOANN ALLEN Owner 407-884-0808 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL PRO44) |
| Enumeration Date | 2006-10-06 |
| Last Update Date | 2020-08-22 |