| NPI | 1912714650 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER E WHITE Administrative Manager 407-579-2866 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies |
| Enumeration Date | 2024-12-16 |
| Last Update Date | 2024-12-16 |