| NPI | 1891157640 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | MICHAEL GEORGE KAWOHL President 321-288-4681 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies Customized Equipment (Licence: FL L05000117816) |
| Enumeration Date | 2016-03-22 |
| Last Update Date | 2016-03-22 |