| NPI | 1902353634 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | PIERRE A PLANCHER Owner/Manager 239-440-9094 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BX2000X Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies (Licence: FL 1680170559237) |
| Enumeration Date | 2016-09-11 |
| Last Update Date | 2016-09-11 |