| NPI | 1881119774 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | WILLIAM NOVACK Owner 407-367-9149 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 3100-1187041) |
| Enumeration Date | 2017-08-11 |
| Last Update Date | 2017-08-11 |