| NPI | 1922546332 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | DONNA STRICKLAND 3rd Party Administrator 407-650-0216 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332BC3200X Durable Medical Equipment & Medical Supplies, Customized Equipment (Licence: FL 3100-1051463) |
| Enumeration Date | 2017-02-06 |
| Last Update Date | 2017-02-06 |