| NPI | 1851661334 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CLARK JEFFREY LEMMON President 863-293-0040 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL Ch 9923) |
| Enumeration Date | 2011-12-30 |
| Last Update Date | 2013-04-23 |