| NPI | 1861652521 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY HARPER PENDRY President 407-324-9046 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL olhs2007082302407) |
| Enumeration Date | 2008-06-16 |
| Last Update Date | 2008-06-16 |