| NPI | 1881108629 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TRICIA STANLEY Office Manager 941-366-3636 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment |
| Enumeration Date | 2017-11-30 |
| Last Update Date | 2018-01-23 |