| NPI | 1851710115 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHELE L WILDER Office Manager 407-896-2881 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 15092) |
| Enumeration Date | 2014-04-15 |
| Last Update Date | 2014-04-15 |