| NPI | 1912327461 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | RALPH GLENN MEGILL Owner 727-412-8020 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2014-04-23 |