NPI | 1912930934 |
---|---|
Entity Type | Organization |
Authorized Contact | STEPHEN LEE ASHBY Vice President 352-854-9527 |
Organization Subpart ? | No |
Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL 2405) |
Enumeration Date | 2006-07-10 |
Last Update Date | 2020-08-22 |