| NPI | 1891973145 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | ALAN DALE SIROTA Owner/President 407-695-7075 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PO1395) |
| Enumeration Date | 2008-02-07 |
| Last Update Date | 2008-02-07 |