| NPI | 1871615195 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DAN WADE President 813-615-1011 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 9376) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2010-07-08 |