| NPI | 1902075427 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | GREGORY WAYNE BOWEN Owner 772-634-2891 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL l07000060124) |
| Enumeration Date | 2008-02-28 |
| Last Update Date | 2008-02-28 |