| NPI | 1932327053 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JULIE MUELLER President 727-224-8698 |
| Organization Subpart ? | No |
| Primary Taxonomy | 332B00000X Durable Medical Equipment & Medical Supplies (Licence: FL PED77) |
| Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: FL PED77) |
| Enumeration Date | 2007-04-23 |
| Last Update Date | 2011-02-21 |