| NPI | 1861570244 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RANDOLPH THOMAS ALVUT Owner/CEO 321-383-9200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 1312306) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2007-07-09 |